{"id":4992,"date":"2025-07-10T10:24:58","date_gmt":"2025-07-10T08:24:58","guid":{"rendered":"https:\/\/cvja.co.za\/journal\/?p=4992"},"modified":"2025-07-10T10:24:58","modified_gmt":"2025-07-10T08:24:58","slug":"cvja-2025-009","status":"publish","type":"post","link":"https:\/\/cvja.co.za\/journal\/cvja-2025-009\/","title":{"rendered":"Neurological outcomes after carotid endarterectomy in patients with contralateral carotid occlusion: One-year follow-up"},"content":{"rendered":"    <div id=\"article\">                                                                                                                        \r\n        <div id=\"title-container\">                                                                                                    \r\n        <div id=\"authors-title\">                                                                                                            \r\n        <!--Aurthors under Title-->                                                                                                            \r\n            Mehmet Ali Yesiltas, Yasar G\u00f6kkurt, Serkan Ketenciler, Cihan Y\u00fccel, Merve Yakupoglu, Ahmet Ozan Koyuncu, Esra Erturk Tekin, Ismail Haberal                                                                                                       \r\n        <\/div>        \r\n<\/div>                                                                                                                            \r\n            <div id=\"copyright\">\r\n        <strong>Copyright:<\/strong> Clinics Cardive Publishing (Pty) Ltd. publisher\r\n        of Cardiovascular Journal of Africa.<\/div>\r\n    <div style=\"clear: both;\"><\/div>                                                                                                                                \r\n        <div id=\"article-abstract\">                                                                                                            \r\n            <div id=\"abstract-title\">                                                                                                        \r\n                    Abstract                                                                                                                \r\n                <\/div>                                                                                                                        \r\n                                                                                                                                \r\n            <div id=\"abstract-content\">                                                                                                        \r\n            <!--Content of Abstract Article-->                                                                                                \r\n            <!--<strong>\"Abstract titles\":<\/strong>-->                                                                                        \r\n            <!--<br\/> at the end of each section!!-->                                                                                        \r\n                                                                                                                                            \r\n        <strong>Introduction:<\/strong>                                                                                                    \r\n                                                                                                                                                    \r\n        Neurological complications occur after CEA, independent of CCO. These neurological complications appear to occur more frequently in CEA patients with CCO. In our study, we aimed to share the perioperative and postoperative 1-year neurological results of CEA patients.                                                                                                                   \r\n                <br \/>                                                                                                                            \r\n                                                                                                                                                \r\n        <strong>Methods:<\/strong>                                                                                                    \r\n                                                                                                                                                    \r\n        Patients who underwent CEA between January 2017 and January 2023were retrospectively examined. Patients who underwent CEA with total occlusion of the contralateral internal carotid artery (ICA) were included in the study (42 patients). The patients were routinely checked on the 15th day, 6th month and 12th month after discharge, and the presence of symptoms (stroke, TIA) and carotid-related mortality were assessed.                                                                                                                    \r\n                <br \/>                                                                                                                            \r\n                                                                                                                                                \r\n        <strong>Results:<\/strong>                                                                                                    \r\n                                                                                                                                                    \r\n        The average age of the patients was 69.18 \u00b1 7.9 years. One patient experienced postoperative nerve damage, responded to anti-inflammatory treatment during followup and was discharged without sequelae. Weakness in the ipsilateral left arm developed in 1 patient. One patient who underwent postoperative revision as mentioned previously suffered stroke, and 1 patient had a history of TIA at the 6-month follow-up. During the 1-year follow-up, stroke developed in 1 patient, and diffuse infarction was observed in the ipsilateral median cerebral artery area. It is known that this patient is noncompliant with medical treatment. One patient died in the 10th postoperative month, but the direct relationship with mortality is unknown.                                                                                                     \r\n                <br \/>                                                                                                                            \r\n                                                                                                                                                \r\n        <strong>Conclusion:<\/strong>                                                                                                    \r\n                                                                                                                                                    \r\n         With respect to neurological risks in patients with CCO, CEA should always be performed by experienced surgeons. We believe that preoperative collateral evaluation during CEA in patients with CCO and the routine use of shunts during the procedure minimise the risk of cerebrovascular events.                                                                                                                 \r\n                <br \/>        \r\n\t\t\t\t\r\n\t\t\t\t <strong>Abbreviations:<\/strong>                                                                                                    \r\n                                                                                                                                                    \r\n         CEA: Carotid endarterectomy, CAD: Carotid artery disease, CCO: Contralateral carotid occlusion, CAS: Carotid artery stenting, ICA: internal carotid artery, TIA: Transient ischemic attack, NIRS: near-infrared spectroscopy.                                                                                                                 \r\n                <br \/>   \r\n                                                                                                                                                \r\n            <\/div>                                                                                                                            \r\n        <\/div>                                                                                                                                    \r\n                                                                                                                                        \r\n                                                                                                                                                \r\n        <div id=\"keywords\">                                                                                                                    \r\n                                                                                                                                            \r\n            <strong>Keywords:<\/strong>                                                                                                        \r\n                                                                                                                                            \r\n            <strong>Carotid endarterectomy, carotid stenosis, carotid artery disease, neurological results<\/strong>                                                                                                                                                                                                                    \r\n                                                                                                                                                \r\n        <\/div>                                                                                                                                    \r\n                                                                                                                                                \r\n    <div id=\"publish-info\">                                                                                                                    \r\n                                                                                                                                \r\n    <strong>Submitted:<\/strong> July 12, 2024; <!--Month day, year; -->    \r\n    <strong>Accepted:<\/strong> November 21, 2025; <!--Month day, year; -->                                                                             \r\n    <strong>Published:<\/strong> June 30, 2025<!--Month day, year; -->                                                                                                                            <br \/>                                                            \r\n        <em>Cardiovasc J Afr 2025; <b>36<\/b>: 116-210<!--pg no. till pg no. \"eg. 4-7\"--><\/em>\r\n        <br \/><strong>Volume 36, Issue 2<\/strong> <br \/>                                                                            \r\n        <\/div>                                                                                                                            \r\n                                                                                                                                        \r\n    <div id=\"DOI\">                                                                                                                    \r\n            DOI Citation Reference: dx.doi.org\/10.5830\/CVJA-2025-009<!--DOI number-->                                                                \r\n        <\/div>                                                                                                                            \r\n                 \r\n                                                                                                                                        \r\n            <div id=\"author-affiliation\">                                                                                                \r\n                                                                                                                                        \r\n                <strong>Department of Cardiovascular Surgery, Istanbul Prof. Dr. Cemil Tascioglu City Hospital, Istanbul, Turkey<\/strong>    <br \/>                                                                            \r\n                                                                                                                                        \r\n           Mehmet Ali Yesiltas<br \/>\r\nYasar G\u00f6kkurt<br \/>\r\nSerkan Ketenciler<br \/>\r\nCihan Y\u00fccel<br \/>\r\nMerve Yakupoglu<br \/>\r\nIsmail Haberal<br \/>                                                                                                \r\n                                                                                                                                        \r\n            <\/div>                                                                                                                        \r\n                                                                                                                                        \r\n            <div id=\"author-affiliation\">                                                                                                \r\n                                                                                                                                        \r\n                <strong>Department of Cardiovascular Surgery, Sirnak State Hospital, Sirnak, Turkey<\/strong>    <br \/>                                                                            \r\n                                                                                                                                        \r\n                Ahmet Ozan Koyuncu<br \/>\r\n\t\t\t\t\r\n\t\t\t\t   <div id=\"author-affiliation\">                                                                                                \r\n                                                                                                                                        \r\n                <strong>Department of Cardiovascular Surgery, Mersin City Hospital, Istanbul, Turkey<\/strong>    <br \/>                                                                            \r\n                                                                                                                                        \r\n                Esra Erturk Tekin<br \/><br \/>\r\n\r\n                [soshsc hide=\"logged\"]\r\n                <strong>You need to be <a style=\"color: #c80c44;\" href=\"https:\/\/cvja.co.za\/journal\/member-login\/\" target=\"_blank\" rel=\"noopener\">logged in to view and download<\/a> the full text PDF version. <a style=\"color: #c80c44;\" href=\"https:\/\/cvja.co.za\/journal\/register\/\" target=\"_blank\" rel=\"noopener\">Register for a free account?<\/a><\/strong> <br \/><br \/>[\/soshsc]\r\n                \r\n                \r\n                \r\n                <\/div>\r\n    \r\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Neurological complications occur after CEA, independent of CCO. These neurological complications appear to occur more frequently in CEA patients with CCO. In our study, we aimed to share the perioperative and postoperative 1-year neurological results of CEA patients.<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[44,101],"tags":[],"class_list":["post-4992","post","type-post","status-publish","format-standard","hentry","category-cardiovascular-topics","category-volume-36-issue-2"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Neurological outcomes after carotid endarterectomy in patients with contralateral carotid occlusion: One-year follow-up - Cardiovascular Journal of Africa<\/title>\n<meta name=\"description\" content=\"Neurological complications occur after CEA, independent of CCO. These neurological complications appear to occur more frequently in CEA patients with CCO. In our study, we aimed to share the perioperative and postoperative 1-year neurological results of CEA patients.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cvja.co.za\/journal\/cvja-2025-009\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Neurological outcomes after carotid endarterectomy in patients with contralateral carotid occlusion: One-year follow-up - Cardiovascular Journal of Africa\" \/>\n<meta property=\"og:description\" content=\"Neurological complications occur after CEA, independent of CCO. These neurological complications appear to occur more frequently in CEA patients with CCO. In our study, we aimed to share the perioperative and postoperative 1-year neurological results of CEA patients.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/cvja.co.za\/journal\/cvja-2025-009\/\" \/>\n<meta property=\"og:site_name\" content=\"Cardiovascular Journal of Africa\" \/>\n<meta property=\"article:published_time\" content=\"2025-07-10T08:24:58+00:00\" \/>\n<meta name=\"author\" content=\"Jaco Moolman\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Jaco Moolman\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/cvja.co.za\/journal\/cvja-2025-009\/\",\"url\":\"https:\/\/cvja.co.za\/journal\/cvja-2025-009\/\",\"name\":\"Neurological outcomes after carotid endarterectomy in patients with contralateral carotid occlusion: One-year follow-up - Cardiovascular Journal of Africa\",\"isPartOf\":{\"@id\":\"https:\/\/cvja.co.za\/journal\/#website\"},\"datePublished\":\"2025-07-10T08:24:58+00:00\",\"author\":{\"@id\":\"https:\/\/cvja.co.za\/journal\/#\/schema\/person\/6bf8a30a039e93fd8112db707affb920\"},\"description\":\"Neurological complications occur after CEA, independent of CCO. These neurological complications appear to occur more frequently in CEA patients with CCO. In our study, we aimed to share the perioperative and postoperative 1-year neurological results of CEA patients.\",\"breadcrumb\":{\"@id\":\"https:\/\/cvja.co.za\/journal\/cvja-2025-009\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/cvja.co.za\/journal\/cvja-2025-009\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/cvja.co.za\/journal\/cvja-2025-009\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/cvja.co.za\/journal\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Neurological outcomes after carotid endarterectomy in patients with contralateral carotid occlusion: One-year follow-up\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/cvja.co.za\/journal\/#website\",\"url\":\"https:\/\/cvja.co.za\/journal\/\",\"name\":\"Cardiovascular Journal of Africa\",\"description\":\"The Cardiovascular Journal of Africa is a peer-reviewed medical journal publishing leading research in cardiovascular health across Africa since 1990\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/cvja.co.za\/journal\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/cvja.co.za\/journal\/#\/schema\/person\/6bf8a30a039e93fd8112db707affb920\",\"name\":\"Jaco Moolman\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/cvja.co.za\/journal\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/454c6719ed785bfd40e036ca3c3ac3347c56b4a99902df8beb62d882b1e6967f?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/454c6719ed785bfd40e036ca3c3ac3347c56b4a99902df8beb62d882b1e6967f?s=96&d=mm&r=g\",\"caption\":\"Jaco Moolman\"},\"url\":\"https:\/\/cvja.co.za\/journal\/author\/jacodesignconnection-co-za\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Neurological outcomes after carotid endarterectomy in patients with contralateral carotid occlusion: One-year follow-up - Cardiovascular Journal of Africa","description":"Neurological complications occur after CEA, independent of CCO. These neurological complications appear to occur more frequently in CEA patients with CCO. In our study, we aimed to share the perioperative and postoperative 1-year neurological results of CEA patients.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/cvja.co.za\/journal\/cvja-2025-009\/","og_locale":"en_US","og_type":"article","og_title":"Neurological outcomes after carotid endarterectomy in patients with contralateral carotid occlusion: One-year follow-up - Cardiovascular Journal of Africa","og_description":"Neurological complications occur after CEA, independent of CCO. These neurological complications appear to occur more frequently in CEA patients with CCO. In our study, we aimed to share the perioperative and postoperative 1-year neurological results of CEA patients.","og_url":"https:\/\/cvja.co.za\/journal\/cvja-2025-009\/","og_site_name":"Cardiovascular Journal of Africa","article_published_time":"2025-07-10T08:24:58+00:00","author":"Jaco Moolman","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Jaco Moolman","Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/cvja.co.za\/journal\/cvja-2025-009\/","url":"https:\/\/cvja.co.za\/journal\/cvja-2025-009\/","name":"Neurological outcomes after carotid endarterectomy in patients with contralateral carotid occlusion: One-year follow-up - Cardiovascular Journal of Africa","isPartOf":{"@id":"https:\/\/cvja.co.za\/journal\/#website"},"datePublished":"2025-07-10T08:24:58+00:00","author":{"@id":"https:\/\/cvja.co.za\/journal\/#\/schema\/person\/6bf8a30a039e93fd8112db707affb920"},"description":"Neurological complications occur after CEA, independent of CCO. These neurological complications appear to occur more frequently in CEA patients with CCO. In our study, we aimed to share the perioperative and postoperative 1-year neurological results of CEA patients.","breadcrumb":{"@id":"https:\/\/cvja.co.za\/journal\/cvja-2025-009\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/cvja.co.za\/journal\/cvja-2025-009\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/cvja.co.za\/journal\/cvja-2025-009\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/cvja.co.za\/journal\/"},{"@type":"ListItem","position":2,"name":"Neurological outcomes after carotid endarterectomy in patients with contralateral carotid occlusion: One-year follow-up"}]},{"@type":"WebSite","@id":"https:\/\/cvja.co.za\/journal\/#website","url":"https:\/\/cvja.co.za\/journal\/","name":"Cardiovascular Journal of Africa","description":"The Cardiovascular Journal of Africa is a peer-reviewed medical journal publishing leading research in cardiovascular health across Africa since 1990","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/cvja.co.za\/journal\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/cvja.co.za\/journal\/#\/schema\/person\/6bf8a30a039e93fd8112db707affb920","name":"Jaco Moolman","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/cvja.co.za\/journal\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/454c6719ed785bfd40e036ca3c3ac3347c56b4a99902df8beb62d882b1e6967f?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/454c6719ed785bfd40e036ca3c3ac3347c56b4a99902df8beb62d882b1e6967f?s=96&d=mm&r=g","caption":"Jaco Moolman"},"url":"https:\/\/cvja.co.za\/journal\/author\/jacodesignconnection-co-za\/"}]}},"_links":{"self":[{"href":"https:\/\/cvja.co.za\/journal\/wp-json\/wp\/v2\/posts\/4992","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cvja.co.za\/journal\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cvja.co.za\/journal\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cvja.co.za\/journal\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/cvja.co.za\/journal\/wp-json\/wp\/v2\/comments?post=4992"}],"version-history":[{"count":0,"href":"https:\/\/cvja.co.za\/journal\/wp-json\/wp\/v2\/posts\/4992\/revisions"}],"wp:attachment":[{"href":"https:\/\/cvja.co.za\/journal\/wp-json\/wp\/v2\/media?parent=4992"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cvja.co.za\/journal\/wp-json\/wp\/v2\/categories?post=4992"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cvja.co.za\/journal\/wp-json\/wp\/v2\/tags?post=4992"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}