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Long-term results of carotid endarterectomy and carotid stenting.
MedLine Citation:
PMID:  19953379     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Introduction: We report the long-term results of surgery for carotid stenosis in our institute, and suggest a better treatment strategy for high-risk patients. Materials and methods: Our series of 352 carotid surgeries conducted between April 1998 and May 2007 were investigated. CEA comprised 134 (38%), whereas CAS comprised 218 (62%). In August 2007, we sent questionnaires to all patients, and analyzed responses up to May 2008. For patients undergoing regular follow-up, the data were gathered from the medical records. The questions were: (1) mRS at that time, (2) the cause of death if the patient was deceased, (3) newly diagnosed stroke, and (4) newly diagnosed coronary heart disease. Results: The response rate was 68.8%. The average follow-up period was 31.2 months. The average differences in mRS pre- and postoperation were -0.33 and -0.48 in CEA and CAS, respectively. The mortality rate at >30days was 8.2% in CEA, and 5.0% in CAS. The leading cause of death was heart disease (31.8%). Conclusion: Our report suggests that CAS is not inferior to CEA, and both procedures can be managed safely if all characteristics of the carotid lesions are considered.
Authors:
Hideki Ogata; Tetsuya Tsukahara; Taketo Hatano; Takuya Nakakuki; Mamoru Murakami; Takako Aoyama; Akinori Miyakoshi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta neurochirurgica. Supplement     Volume:  107     ISSN:  0065-1419     ISO Abbreviation:  Acta Neurochir. Suppl.     Publication Date:  2010  
Date Detail:
Created Date:  2009-12-02     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100962752     Medline TA:  Acta Neurochir Suppl     Country:  Austria    
Other Details:
Languages:  eng     Pagination:  101-4     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, National Hospital Organization, Kyoto Medical Center, 1-1 Mukaihata-cho, Fushimi-kuFushimi-ku, Kyoto, 612-8555, Japan, hogata@kyotolan.hosp.go.jp.
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