Postoperative neurological deficit after carotid endarterectomy: a mid-term outcome analysis.

Authors :: Attigah N
Külkens S
Ringleb P
Martin J
Allenberg JR
Jenetzky E
Böckler D
Source :: Cerebrovascular diseases (Basel, Switzerland) [Cerebrovasc Dis] 2010 Aug; Vol. 30 (3), pp. 297-301. Date of Electronic Publication: 2010 Jul 23.
Publication Year :: 2010
Abstract: Background: To evaluate the neurological outcome of postoperative neurological deficit (PND) in patients undergoing carotid endarterectomy (CEA).<br />Methods: A total of 3.7% (n = 48) out of 1,290 consecutive patients developed PND and were assessed neurologically after a mid-term follow-up.<br />Results: After a 4-year follow-up, these patients were neurologically reevaluated. Clinical assessment revealed that 48% (n = 13) of the patients had a Rankin scale score of 0 or 1, 56% (n = 14) had a National Institutes of Health Stroke Scale score of 0 or 1, and 68.5% (n = 17) reached the maximum score on the Barthel index.<br />Conclusions: The neurofunctional prognosis of PND is good. Four years after CEA, almost half of the patients had normal or near-normal neuroclinical findings.<br /> (Copyright 2010 S. Karger AG, Basel.)

Subjects :: Aged
Female
Follow-Up Studies
Humans
Ischemic Attack, Transient complications
Male
Middle Aged
Prognosis
Regression Analysis
Retrospective Studies
Risk Factors
Stroke complications
Carotid Stenosis surgery
Endarterectomy, Carotid
Nervous System Diseases diagnosis
Nervous System Diseases epidemiology
Postoperative Complications

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