Document Detail

Correlation of postoperative and two-year follow-up angiography with neurological function in 99 carotid endarterectomies in 86 consecutive patients.
MedLine Citation:
PMID:  3942425     Owner:  NLM     Status:  MEDLINE    
Eighty-six consecutive patients in 1982 underwent 99 endarterectomies and routine postoperative digital subtraction angiography. Ten vessels were closed primarily and 89 with a patch graft. Minor morbidity was 2%, major morbidity 0%, and mortality 1%, but these varied according to the patient's preoperative medical and neurological function and angiographic findings. Postoperative patency for the common carotid artery (CCA) and internal carotid artery (ICA) was 100% and for the external carotid artery (ECA) 97%. Seventy-nine vessels were evaluated by a DSA 2 years after surgery. There was one asymptomatic occlusion in follow-up and one symptomatic re-stenosis in a patient with a proven heparin induced hypercoagulability state. The three postoperative ECA occlusions were associated with a lethal postoperative stroke, the only ICA occlusion in follow-up, and a 50% stenosis of the CCA in follow-up at the site of ECA occlusion. Vein patch grafting protected the ICA but not the CCA from recurrent stenosis. The carotid slim sign on preoperative angiograms is judged to indicate a patient at high risk of stroke morbidity.
T M Sundt; O W Houser; N C Fode; J P Whisnant
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of surgery     Volume:  203     ISSN:  0003-4932     ISO Abbreviation:  Ann. Surg.     Publication Date:  1986 Jan 
Date Detail:
Created Date:  1986-02-10     Completed Date:  1986-02-10     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0372354     Medline TA:  Ann Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  90-100     Citation Subset:  AIM; IM    
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MeSH Terms
Arterial Occlusive Diseases / radiography*,  surgery
Carotid Artery Diseases / radiography*,  surgery
Carotid Artery, External / radiography
Carotid Artery, Internal / radiography
Cerebral Angiography
Cerebral Infarction / radiography
Cerebrovascular Disorders / radiography
Follow-Up Studies
Ischemic Attack, Transient / radiography
Middle Aged
Postoperative Complications / radiography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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