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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
5
|
| pubmed:dateCreated |
1995-2-16
|
| pubmed:abstractText |
A total of 700 carotid endarterectomies have been performed over a 24-year period at the authors' institute; of these patients 632 (90.3%) had unilateral and 68 (9.7%) had bilateral disease. Some 71 patients who declined operation were followed-up to obtain the natural history of carotid disease. The operative results were compared against this untreated group of patients. Surgical endarterectomy was recommended for a recovered stroke in 190 patients (27.1%), progressive ischaemia in 20 (2.9%) and transient ischaemic attacks in 410 (58.6%). A group of 100 patients with non-specific symptomatology, who were considered 'symptom-free', were also operated on; none of these died or developed permanent postoperative neurological defects. The mean age of patients was 56 (range 28-86) years. The overall operative mortality rate was 0.8%. Perioperative neurological deficits occurred in 0.5% and temporary cranial nerve injury in 1.8%. The follow-up covered a period of 10 years, but was in several instances extended to 14 years. The incidence of late neurological events in the patients having an endarterectomy was 3%. In the non-operated group, 12% of normotensive and 18% of hypertensive patients developed symptoms. The 10-year postoperative survival rate was 80% in the symptom-free group of patients, 70% in those with transient ischaemic attacks and 60% in those who had a previous stroke.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Oct
|
| pubmed:issn |
0967-2109
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
2
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
586-91
|
| pubmed:dateRevised |
2007-11-15
|
| pubmed:meshHeading |
pubmed-meshheading:7820518-Adult,
pubmed-meshheading:7820518-Aged,
pubmed-meshheading:7820518-Aged, 80 and over,
pubmed-meshheading:7820518-Brain Ischemia,
pubmed-meshheading:7820518-Carotid Stenosis,
pubmed-meshheading:7820518-Cerebrovascular Disorders,
pubmed-meshheading:7820518-Coronary Artery Disease,
pubmed-meshheading:7820518-Cranial Nerve Injuries,
pubmed-meshheading:7820518-Disease-Free Survival,
pubmed-meshheading:7820518-Endarterectomy, Carotid,
pubmed-meshheading:7820518-Female,
pubmed-meshheading:7820518-Follow-Up Studies,
pubmed-meshheading:7820518-Humans,
pubmed-meshheading:7820518-Hypertension,
pubmed-meshheading:7820518-Ischemic Attack, Transient,
pubmed-meshheading:7820518-Male,
pubmed-meshheading:7820518-Middle Aged,
pubmed-meshheading:7820518-Neurologic Examination,
pubmed-meshheading:7820518-Paralysis,
pubmed-meshheading:7820518-Recurrence,
pubmed-meshheading:7820518-Survival Rate
|
| pubmed:year |
1994
|
| pubmed:articleTitle |
Carotid artery surgery and the principle of prophylaxis: recurrence in operated and nonoperated patients.
|
| pubmed:affiliation |
Department of Thoracic and Cardiovascular Surgery, Red Cross General Hospital, Athens, Greece.
|
| pubmed:publicationType |
Journal Article,
Comparative Study
|