Answer
Evidence of prior MI and ischemic changes on electrocardiography (ECG) are important to identify. The most common cause of mortality after CEA is MI.
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Media Gallery
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Arteriogram of aortic arch and its branches.
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Arteriogram of carotid stenosis.
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Atherosclerotic plaque removed at time of carotid endarterectomy (areas of ulceration with thrombus and intraplaque hemorrhage are present).
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Carotid artery exposed prior to carotid endarterectomy (coil present in internal carotid artery).
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Carotid artery following endarterectomy and prior to closure (tapered endpoint and smooth appearance of lumen).
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Carotid artery following Dacron patch angioplasty.
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Selective left carotid angiogram.
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Oblique view of left carotid artery demonstrating lesion within internal carotid artery.
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Placement of stent into internal carotid artery. Note filter wire in upper photos (dots at top of internal carotid artery).
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Angioplasty after stent placement; again, note filter wire protecting distal carotid artery.
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Completion arteriogram displaying improvement in diameter of internal carotid artery.
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Normal carotid arteries on color flow duplex ultrasonography.
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Color flow duplex ultrasonogram reveals 80-99% left carotid stenosis and normal right carotid.
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Carotid plaque.
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