| Long-term results of carotid endarterectomy and carotid stenting. | |
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MedLine Citation:
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PMID: 19953379 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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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. |
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Authors:
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Hideki Ogata; Tetsuya Tsukahara; Taketo Hatano; Takuya Nakakuki; Mamoru Murakami; Takako Aoyama; Akinori Miyakoshi |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Acta neurochirurgica. Supplement Volume: 107 ISSN: 0065-1419 ISO Abbreviation: Acta Neurochir. Suppl. Publication Date: 2010 |
Date Detail:
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Created Date: 2009-12-02 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100962752 Medline TA: Acta Neurochir Suppl Country: Austria |
Other Details:
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Languages: eng Pagination: 101-4 Citation Subset: IM |
Affiliation:
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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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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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