Long-term prognosis after carotid endarterectomy

T. Sacquegna, M. D’Addato, A. Baldrati, P. Cortelli, C. Lamieri, E. Merlo Pich, G. Vitacchiano, L. Pedrini

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Abstract

This study analyzed 76 consecutive patients with carotid transient ischemic attacks (TIA) and carotid lesions appropriate to symptoms who underwent endarterectomy during the period 1975-1981 The mean age of the patients was 51.9 ± 8 years at the lime of surgery. Hypertension was present in 32.9%. diabetes mellitus in 13%. ischemic cardiopathy in 8.2% and peripheral vascular disease in 6.6%. Operative mortality was 1.3% and harder morbidity 4%. The average follow-up was 2.6 years (range 1-7 years). The observed 5-year survival rate was 85.2% compared to the expected rate of 92.4% in a normal population. During the follow-up 5 patients had a stroke: the cumulative stroke rate was 4.6% at I year and 7.9% at 3 years. 18 patients had further TIAs (13 carolid TIAs and 5 vertebro-basilar TIAs). 6 patients suffered myocardial infarction. The prognosis of TIA patients treated with endarterectomy is difficult to evaluate because the natural history of TIAs is still undefined.

Original languageEnglish
Pages (from-to)36-39
Number of pages4
JournalEuropean Neurology
Volume25
Issue number1
DOIs
Publication statusPublished - 1986

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Keywords

  • Carotid endarterectomy
  • Prognosis
  • Stroke
  • Survival

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology

Cite this

Sacquegna, T., D’Addato, M., Baldrati, A., Cortelli, P., Lamieri, C., Merlo Pich, E., Vitacchiano, G., & Pedrini, L. (1986). Long-term prognosis after carotid endarterectomy. European Neurology, 25(1), 36-39. https://doi.org/10.1159/000115984