%0 Journal Article %1 ihor_i_kobza_2024_11365044 %A Kobza, Ihor I. %A Pelekh, Vasyl V. %A Mota, Yuliya S. %D 2024 %J World Journal of Biology Pharmacy and Health Sciences %K Case report %N 3 %P 268–272 %R 10.30574/wjbphs.2024.17.3.0141 %T Carotid endarterectomy in a patient with recurrent transient ischemic attacks and burdened neurological history: A decision-making dilemma: Case report %U https://wjbphs.com/content/carotid-endarterectomy-patient-recurrent-transient-ischemic-attacks-and-burdened %V 17 %X Introduction: in symptomatic patients with carotid artery disease (CAD), carotid endarterectomy (CEA) reduces the risk of major stroke and is highly beneficial in patients with 70% to 99% stenosis. However, patients with burdened neurological history, risk factors, and relative contraindications for surgery require thoughtful decision-making. Case presentation: 51-year-old male patient with a previous ischemic stroke (mRS 3) with an area of infarction that exceeds one-third of the right middle cerebral artery, who had ipsilateral carotid artery critical stenosis and contralateral near-occlusion and suffered from recurrent ipsilateral transient ischemic attacks (TIA) despite being on medical treatment. The patient underwent CEA and was discharged on postoperative day 5 with partial improvement of neurological deficit. Follow-up on postoperative day 30 was unremarkable, after which neurological improvement occurred, and the patient was successfully discharged. Conclusion: It is possible to perform CEA in symptomatic patients with significant neurological deficits and brain lesions if conservative treatment is ineffective and there are factors indicating the necessity for surgical intervention.

@article{ihor_i_kobza_2024_11365044, abstract = {Introduction: in symptomatic patients with carotid artery disease (CAD), carotid endarterectomy (CEA) reduces the risk of major stroke and is highly beneficial in patients with 70% to 99% stenosis. However, patients with burdened neurological history, risk factors, and relative contraindications for surgery require thoughtful decision-making. Case presentation: 51-year-old male patient with a previous ischemic stroke (mRS 3) with an area of infarction that exceeds one-third of the right middle cerebral artery, who had ipsilateral carotid artery critical stenosis and contralateral near-occlusion and suffered from recurrent ipsilateral transient ischemic attacks (TIA) despite being on medical treatment. The patient underwent CEA and was discharged on postoperative day 5 with partial improvement of neurological deficit. Follow-up on postoperative day 30 was unremarkable, after which neurological improvement occurred, and the patient was successfully discharged. Conclusion: It is possible to perform CEA in symptomatic patients with significant neurological deficits and brain lesions if conservative treatment is ineffective and there are factors indicating the necessity for surgical intervention.}, added-at = {2024-06-07T06:07:57.000+0200}, author = {Kobza, Ihor I. and Pelekh, Vasyl V. and Mota, Yuliya S.}, biburl = {https://www.bibsonomy.org/bibtex/2d5d8091f67fd936b4841d0979f17bb86/wjbphsjournal}, doi = {10.30574/wjbphs.2024.17.3.0141}, interhash = {a1a16d9b6bdbd9629e04afe4c275442f}, intrahash = {d5d8091f67fd936b4841d0979f17bb86}, issn = {2582-5542}, journal = {{World Journal of Biology Pharmacy and Health Sciences}}, keywords = {Case report}, month = may, number = 3, pages = {268–272}, timestamp = {2024-06-07T06:07:57.000+0200}, title = {Carotid endarterectomy in a patient with recurrent transient ischemic attacks and burdened neurological history: A decision-making dilemma: Case report}, url = {https://wjbphs.com/content/carotid-endarterectomy-patient-recurrent-transient-ischemic-attacks-and-burdened}, volume = 17, year = 2024 }