Stroke, Vol 8, 565-568, Copyright © 1977 by American Heart Association
JD Easton and DG Sherman
A retrospective study of 228 consecutive carotid endarterectomies was
conducted to determine the operative stroke and mortality rate in two
600-bed community hospitals. The combined stroke-mortality rate for the
series was 21.1% (48 of 228). Eleven endarterectomies were performed for
asymptomatic bruits and the combined stroke-mortality rate was 18.2% (2 of
11). Fifty-seven endarterectomies were performed for transient ischemic
attach(s) in the symptomatic carotid artery distribution and the combined
stroke-mortality rate was 21.1% (12 of 57). Seventy-one endarterectomies
were performed following a mild- moderate stroke in the symptomatic carotid
artery distribution and the combined stroke-mortality rate was 21.1% (15 of
71). Twelve endarterectomies were performed following a severe stroke in
the symptomatic carotid artery distribution and the combined stroke-
mortality rate was 41.7% (5 of 12). There was no trend toward more or less
operation strokes or deaths from 1970 to 1976. The similarity of results
among the eleven board-certified neurological and vascular surgeons who
performed the 228 endarterectomies suggests that the operative stroke and
mortality rates for carotid endarterectomy reported here are likely to be
representative of those in many other community hospitals in this country
in the 1970s.
ARTICLES
Stroke and mortality rate in carotid endarterectomy: 228 consecutive operations
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