J Cerebrovasc Endovasc Neurosurg.  2021 Dec;23(4):314-326. 10.7461/jcen.2021.E2021.03.010.

A bibliometric analysis on the most-cited publications on carotid endarterectomy throughout history

• Turki E
• Almutairi OT
• Modhi A
• Mohammed B
• Alturki AY

• KMID: 2523889
• DOI: http://doi.org/10.7461/jcen.2021.E2021.03.010

Abstract

Objective
Carotid endarterectomy (CEA) is the gold standard surgical procedure for managing carotid stenosis due to atherosclerosis and reducing the risk of ischemic stroke. This bibliometric analysis summarizes the most-cited articles on CEA and highlights the contributing articles to today’s evidence-based practice.
Methods
A title-specific search using the Scopus database was used to perform the search. Pertinent article-based, journal-based, and author-based parameters were obtained for review.
Results
A total of 6,824 articles were published between 1970 and 2020. The top 100 most-cited articles accumulated a total of 54,153 citations with an average citation count (CC) of 541, with only a 4.53% self-citation rate for all authors. The publication trends peaked between 1997 and 2010, in which two-third of the highly cited works were published. The most prolific categories with top citations are the clinical, indications, and management, in a descending order. There were 41 published Randomized Controlled Trials (RCT) in the most-cited list.
Conclusions
Citation analysis on carotid endarterectomy has witnessed a marked shift in the publication trends from studying the outcome and complications to comparing carotid stenting with endarterectomy. This analysis is a good introductory article to physicians interested in this topic, as it summarizes the highly impactful articles and enlists the most-cited RCT on CEA.

Keyword

Carotid artery stenosis; Carotid endarterectomy; Stroke; Bibliometric analysis; Citation analysis

Figure

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  Fig. 1. Line chart demonstrating the chronological trend with the highest publication in the years 1997-2003.

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  Fig. 2. Pie chart with study categories of publications mostly concentrated on the clinical and indications categories.

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  Fig. 3. Bar chart of the most contributing authors in carotid endarterectomy.

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  Fig. 4. Pie chart demonstrating the top contributing institutions in carotid endarterectomy.

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  Fig. 5. Bar chart demonstrating the top contributing journals in publishing articles of carotid endarterectomy.

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  Fig. 6. Bar chart demonstrating the most contributing countries in publishing carotid endarterectomy studies.

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