Complications in carotid endarterectomy are predicted by qualifying symptoms and preoperative CT findings.
Eur J Vasc Endovasc Surg
; 17(3): 213-8, 1999 Mar.
Article
em En
| MEDLINE
| ID: mdl-10092893
ABSTRACT
OBJECTIVES:
To relate the 30-day perioperative rate of stroke or death in carotid endarterectomy (CEA) to preoperative qualifying symptoms and to the presence of cerebral infarction (CI) demonstrated on computed tomography (CT).DESIGN:
Retrospective clinical study. MATERIAL ANDMETHODS:
Two hundred and seventy-two consecutive CEAs for symptomatic stenosis in 262 patients were analysed.RESULTS:
The total complication rate was 5.9%. Patients with retinal symptoms (n = 81) had no complications, TIA patients (n = 76) had 6.6% (p < 0.001). Patients qualifying with minor stroke (n = 113) had complications in 9.7% (N.S. compared to TIA patients). Patients qualifying with cortical symptoms had a significantly higher complication rate compared to those with retinal (8.4% vs. 0%, p = 0.004). The presence of a preoperative CT-verified infarction resulted in a higher risk for stroke or death (9.8% vs 2.8%, p = 0.008). Within the subgroup presenting with minor stroke, the presence of CI resulted in stroke or death in 13.9%. In patients without CI the corresponding figure was 2.4% (p = 0.017).CONCLUSION:
The qualifying symptoms and the presence of CI visualized by CT influence the complication rate in CEA. When evaluating risk and comparing outcome, these parameters should be included in reporting standards.
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Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Tomografia Computadorizada por Raios X
/
Endarterectomia das Carótidas
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Guideline
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Europa
Idioma:
En
Revista:
Eur J Vasc Endovasc Surg
Assunto da revista:
ANGIOLOGIA
Ano de publicação:
1999
Tipo de documento:
Article
País de afiliação:
Suécia