Brain Injury After Carotid Revascularization: Outcomes, Mechanisms, and Opportunities for Improvement

Despite a considerable body of evidence, there is a lack of consensus in determining optimal strategies for the assessment and characterization of neurologic injury and its effect on neurobehavioral outcomes after carotid revascularization, especially among industry-sponsored trials. As a result, rates of neurologic outcomes varied considerably across studies, registries, and clinical trials. Future efforts to correlate neuroimaging with cognitive outcomes may offer insight into methods to decrease neurologic injury after carotid revascularization.