Atherosclerosis of the internal carotid artery with resulting stenosis, threatens the patients by cerebral ischaemia.
Patients with high-grade stenosis, who have a high risk of stroke, gain profit from the surgery. The surgeon’s decision
is based on the clinical picture and on the degree of stenosis. The degree of the stenosis indicated for surgery was
determined by international multicentric randomized studies and such indication represents the evidence-based
medicine. Carotid microendarterectomy is performed at neurosurgical departments. The microsurgical technique
enables perfect endarterectomy, eliminates patching and reduces risk of embolisation and vessel dissection. Cerebral
ischaemia is a complex problem and carotid microendarterectomy is a part of the complex management of stroke.
cerebral ischaemia, internal carotid artery stenosis, carotid microendarterectomy, microsurgery.