Rethinking the impact of amaurosis with contemporary outcomes of carotid endarterectomy among patients with transient monocular blindness

Patients undergoing CEA in the setting of amaurosis fugax had a statistically similar perioperative and 3-year stroke risk compared with asymptomatic patients. By contrast, hemispheric TIAs or stroke conferred greater risks longitudinally. These findings suggest that it may be appropriate to reconsider the historical risk perception associated with transient monocular blindness to a less severe phenotype and can inform preoperative decision-making for patients considering CEA.

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Publication Details

Journal
Journal of Vascular Surgery
Published
2025-12-01
DOI
https://doi.org/10.1016/j.jvs.2025.11.041
Primary Topic
Cerebrovascular and Carotid Artery Diseases
Type
article
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article

Rethinking the impact of amaurosis with contemporary outcomes of carotid endarterectomy among patients with transient monocular blindness

Brianna M. Krafcik, Jesse A. Columbo, Caitlin W. Hicks, Bjoern D. Suckow et al.
Journal of Vascular Surgery
Cerebrovascular and Carotid Artery Diseases
article

Rethinking the impact of amaurosis with contemporary outcomes of carotid endarterectomy among patients with transient monocular blindness

Brianna M. Krafcik, Jesse A. Columbo, Caitlin W. Hicks, Bjoern D. Suckow, Salvatore T. Scali, David H. Stone, Thomas S. Huber, Pablo Martínez-Camblor
article en

Abstract

Patients undergoing CEA in the setting of amaurosis fugax had a statistically similar perioperative and 3-year stroke risk compared with asymptomatic patients. By contrast, hemispheric TIAs or stroke conferred greater risks longitudinally. These findings suggest that it may be appropriate to reconsider the historical risk perception associated with transient monocular blindness to a less severe phenotype and can inform preoperative decision-making for patients considering CEA.

Journal of Vascular Surgery
Dartmouth College (US), Dartmouth–Hitchcock Medical Center (US), Johns Hopkins University (US), Johns Hopkins Medicine (US), University of Florida (US)
Peace, Justice and strong institutions
Openalex Percentile: Top 27%
Cerebrovascular and Carotid Artery Diseases
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