| Long-term follow-up of reoperative carotid surgery. | |
| | |
MedLine Citation:
|
PMID: 10527438 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: We examined our long-term results of carotid reoperation to identify risk factors for morbidity and secondary recurrence. METHODS: Medical record review revealed 27 patients had reoperative surgery for recurrent stenosis. Demographics, operative details, pathology, clinical outcome, and follow-up imaging results were reviewed. RESULTS: No neurologic deficits and no mortalities were noted perioperatively. Long-term follow-up (average 54 months) revealed an 85% 5-year and 29% 10-year estimated survival. The 5- and 10-year estimated neurologic event rates were 15% and 35%, respectively. These included 3 ipsilateral strokes and 1 ipsilateral TIA; only the TIA involved secondary restenosis. Follow-up imaging revealed a 21% incidence of secondary restenosis, occurring more frequently in patients with hyperlipidemia (P < 0.05) and previous contralateral endarterectomy (P < 0.05). CONCLUSIONS: (1) Reoperation provides long-term protection from stroke due to recurrent stenosis. (2) Secondary restenosis rates appear higher than those for primary surgery. (3) Hyperlipidemia and contralateral endarterectomy are risk factors for secondary restenosis. |
| | |
Authors:
|
E D Dillavou; M B Kahn; R A Carabasi; S N Smullens; P J DiMuzio |
Related Documents
:
|
20934388 - Addition of brain and carotid imaging to the abcd² score to identify patients at early... 17573188 - Post-licensed 1-year experience of systemic thrombolysis with tissue plasminogen activa... 20576948 - Outcomes of thrombolysis for acute ischemic stroke in octogenarians versus nonagenarians. 9737448 - A comparison of carotid angioplasty with stenting versus endarterectomy with regional a... 6360688 - Comparison of short-term efficacy of diltiazem and propranolol in unstable angina at re... 23052628 - Prospective evaluation of change in levator hiatus dimensions using 3d endovaginal ultr... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: American journal of surgery Volume: 178 ISSN: 0002-9610 ISO Abbreviation: Am. J. Surg. Publication Date: 1999 Sep |
Date Detail:
|
Created Date: 1999-11-04 Completed Date: 1999-11-04 Revised Date: 2007-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 0370473 Medline TA: Am J Surg Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 197-200 Citation Subset: AIM; IM |
Affiliation:
|
Department of Surgery, Jefferson Medical College, Philadelphia, Pennsylvania, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Carotid Stenosis / epidemiology, surgery* Endarterectomy, Carotid* / statistics & numerical data Female Follow-Up Studies Humans Hyperlipidemias / epidemiology Incidence Ischemic Attack, Transient / epidemiology Male Middle Aged Recurrence Reoperation / statistics & numerical data Risk Factors Stroke / prevention & control* Survival Rate Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The prevalence of carotid artery stenosis in patients undergoing aortic reconstruction.
Next Document: The impact of an occluded internal carotid artery on the mortality and morbidity of patients undergo...