Document Detail

Prophylactic carotid endarterectomy for asymptomatic bruit. A look at cardiac risk.
MedLine Citation:
PMID:  7115069     Owner:  NLM     Status:  MEDLINE    
We assessed the influence of preoperative cardiac risk factors in 57 patients undergoing 70 prophylactic carotid endarterectomies (PCE) and found that: (1) 47 (83%) had at least one cardiac risk factor and (2) nine of 15 deaths occurring in the late follow-up period (40 to 120 months) were due to cardiac causes. Perioperatively, one patient sustained a mild stroke. Although the cumulative stroke-free occurrence rate was kept to less than 6% over the five-year period, cardiac morbidity and mortality greatly influenced the quality of life after PCE. Therefore, PCE is suggested only for patients who have minimal preoperative cardiac risk factors or for those patients whose cardiac risk factors can be improved by medical therapy.
P A Burke; A D Callow; T F O'Donnell; J J Kelly; H Welch
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of surgery (Chicago, Ill. : 1960)     Volume:  117     ISSN:  0004-0010     ISO Abbreviation:  Arch Surg     Publication Date:  1982 Sep 
Date Detail:
Created Date:  1982-10-29     Completed Date:  1982-10-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9716528     Medline TA:  Arch Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1222-7     Citation Subset:  AIM; IM    
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MeSH Terms
Carotid Artery Diseases / surgery*
Cerebrovascular Disorders / etiology,  prevention & control*
Endarterectomy* / mortality
Follow-Up Studies
Middle Aged
Myocardial Infarction / etiology,  mortality
Postoperative Complications

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