Document Detail

Stroke, myocardial infarction, and survival during long-term follow-up after carotid endarterectomy.
MedLine Citation:
PMID:  2922648     Owner:  NLM     Status:  MEDLINE    
Epidemiological data on 211 patients undergoing 256 carotid endarterectomies were reviewed, and current data for the 205 perioperative survivors were analyzed by the actuarial method. The median follow-up period was 7.0 years (range: 1 month to 23.2 years). Seven percent of patients were lost to follow-up. Actuarial survival was 77% (5 years) and 49% (10 years), but lower than for the general population. Late stroke occurred in 27 patients (13%) (fatal in 9), being ipsilateral to an endarterectomy in only 10 (4.9%). The annual ipsilateral stroke rate (0.41%), comparable to that of the general population, suggests protection from subsequent stroke. Myocardial infarction occurred in 69 patients (34%), and accounted for 49% of late deaths.
K S Lee; C H Davis
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Surgical neurology     Volume:  31     ISSN:  0090-3019     ISO Abbreviation:  Surg Neurol     Publication Date:  1989 Feb 
Date Detail:
Created Date:  1989-04-20     Completed Date:  1989-04-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0367070     Medline TA:  Surg Neurol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  113-9     Citation Subset:  IM    
Department of Surgery, Bowman Gray School of Medicine, Wake Forest University Medical Center, Winston-Salem, North Carolina.
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MeSH Terms
Actuarial Analysis
Aged, 80 and over
Carotid Arteries / surgery*
Cerebrovascular Disorders / etiology*,  mortality
Follow-Up Studies
Middle Aged
Myocardial Infarction / etiology*,  mortality
Postoperative Complications*
Time Factors

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

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