Back to Search
Start Over
Contralateral Internal Carotid Artery Occlusion Impairs Early But Not 30-Day Stroke Rate Following Carotid Endarterectomy.
- Source :
-
Angiology . Oct2010, Vol. 61 Issue 7, p705-710. 6p. - Publication Year :
- 2010
-
Abstract
- Neurological complications and mortality within 30 days following carotid endarterectomy (CEA) alone or with concomitant cardiac surgery/cardiopulmonary bypass (CPB) were assessed in patients with or without contralateral occlusion of the internal carotid artery (CO-ICA). Of 335 patients undergoing CEA, 173 underwent concomitant cardiac surgery with CPB. Group A consisted of 260 patients without CO-ICA and group B of 75 patients with CO-ICA. The neurological complications (peripheral nerve damage, transient ischemic attack [TIA], prolonged reversible ischemic neurological deficit [PRIND], and stroke) and the Rankin index within 24 hours and 30 days postoperatively were compared. Strokes within 24 hours were significantly increased (P = .006) in group B (11%) compared with A (3.1%); TIA and PRIND did not differ (P = .33). The overall neurological complications and in particular for peripheral neurological damage, TIA/PRIND, and stroke did not differ within the 30-day-period postsurgery. A significantly higher stroke rate within 24 hours postsurgery occurred in patients with CO-ICA. [ABSTRACT FROM AUTHOR]
- Subjects :
- *CEREBROVASCULAR disease risk factors
*ARTERIAL occlusions
*ARTERIAL surgery
*TRANSIENT ischemic attack
*ANALYSIS of variance
*CARDIOPULMONARY bypass
*CAROTID artery surgery
*CHI-squared test
*COMPUTER software
*ENDARTERECTOMY
*INTERVIEWING
*TIME
*COMORBIDITY
*DATA analysis
*MORTALITY
*DISEASE risk factors
SURGICAL complication risk factors
Subjects
Details
- Language :
- English
- ISSN :
- 00033197
- Volume :
- 61
- Issue :
- 7
- Database :
- Academic Search Index
- Journal :
- Angiology
- Publication Type :
- Academic Journal
- Accession number :
- 53544841
- Full Text :
- https://doi.org/10.1177/0003319710369792