Document Detail


Life expectancy and late stroke following carotid endarterectomy.
MedLine Citation:
PMID:  6602597     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A review of the UCSD experience with 456 consecutive carotid endarterectomy procedures confirms the acceptably low operative mortality and morbidity associated with this operation. Immediate complications were not different when routine or selective shunting was performed, but the patients with a low internal carotid artery back pressure had higher operative complication rates. The coexistence of atherosclerosis in other parts of the body severe-enough to warrant surgery for them was not associated with either higher early or late carotid surgery complication rates. Following both coronary bypass and carotid procedures, the late mortality was decreased, and the late incidence of stroke was particularly low in comparison to the remainder of the patient group. Late follow-up emphasized the high continuing attrition rate from all causes in these patients. Late strokes continued to occur, particularly in patients with prior strokes and severe preoperative bilateral carotid disease. The late course of patients with posterior circulation transient ischemic attacks treated by carotid endarterectomy was quite similar to that of patients treated for anterior circulation transient ischemia attacks (TIAs). Newer postoperative screening procedures may decrease the incidence of late postoperative stroke by identifying recurrent carotid stenosis while it is still in the asymptomatic stage.
Authors:
E F Bernstein; P B Humber; G M Collins; R B Dilley; J B Devin; S H Stuart
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of surgery     Volume:  198     ISSN:  0003-4932     ISO Abbreviation:  Ann. Surg.     Publication Date:  1983 Jul 
Date Detail:
Created Date:  1983-07-29     Completed Date:  1983-07-29     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0372354     Medline TA:  Ann Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  80-6     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Arteriosclerosis / complications
Carotid Arteries / surgery*
Carotid Artery Diseases / surgery
Carotid Artery, Internal / surgery
Cerebrovascular Disorders / etiology*
Coronary Artery Bypass
Endarterectomy* / adverse effects
Female
Follow-Up Studies
Humans
Ischemic Attack, Transient / surgery
Life Expectancy*
Male
Middle Aged
Postoperative Complications
Recurrence
Time Factors
Comments/Corrections

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


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