Stroke, Vol 17, 370-376, Copyright © 1986 by American Heart Association
NC Fode, TM Sundt Jr, JT Robertson, SJ Peerless and CB Shields
A multicenter retrospective audit of carotid endarterectomies performed
during 1981 was completed with 46 institutions contributing 3,328 cases.
Overall, there was a 2.5% risk of transient neurological dysfunction
following surgery and a 6% risk of stroke or death. The intra-institutional
combined major morbidity and mortality varied from 21% to 0. Those
institutions with greater than 700 beds had a statistically lower incidence
of stroke or death than did other institutions. The incidence of stroke or
death postoperatively was significantly lower for patients who were
operated on for amaurosis fugax or for unspecified reasons. Those patients
who were operated on for a progressing stroke had a higher incidence of
stroke but this group was at greatest risk for stroke without surgery. The
incidence of postoperative stroke or death was related to the type of
arterial repair; vein patch grafting was statistically better than both
fabric patch grafting and primary closure. When all patients who were not
monitored during surgery were compared to all patients who had
electroencephalographic (EEG) monitoring, there was found to be a
significant statistical difference in favor of the EEG group.
Endarterectomy combined with coronary artery bypass or simultaneous
bilateral endarterectomies had a statistically significant higher incidence
of stroke or death than did unilateral carotid endarterectomy.
ARTICLES
Multicenter retrospective review of results and complications of carotid endarterectomy in 1981
This article has been cited by other articles:
 |
|
 |
|
  K. Rerkasem and P. M. Rothwell Systematic Review of the Operative Risks of Carotid Endarterectomy for Recently Symptomatic Stenosis in Relation to the Timing of Surgery Stroke, October 1, 2009; 40(10): e564 - e572. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. A. Halm, S. Tuhrim, J. J. Wang, C. Rockman, T. S. Riles, and M. R. Chassin Risk Factors for Perioperative Death and Stroke After Carotid Endarterectomy: Results of the New York Carotid Artery Surgery Study Stroke, January 1, 2009; 40(1): 221 - 229. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. Aslim, T. H. Akay, S. Candan, S. Ozkan, E. Akpek, and B. Gultekin Regional Anesthesia in Elderly Patients Undergoing Carotid Surgery: Report of a Case Series Seminars in Cardiothoracic and Vascular Anesthesia, March 1, 2008; 12(1): 29 - 32. [Abstract] [PDF]
|
|
|
|
 |
|
 R. M. Samuelson, J. Yamamoto, E. I. Levy, A. H. Siddiqui, and L. N. Hopkins The Argument to Support Broader Application of Extracranial Carotid Artery Stent Technology Circulation, October 2, 2007; 116(14): 1602 - 1610. [Full Text] [PDF]
|
|
|
|
|
|
R. Bond, K. Rerkasem, and P.M. Rothwell Systematic Review of the Risks of Carotid Endarterectomy in Relation to the Clinical Indication for and Timing of Surgery Stroke, September 1, 2003; 34(9): 2290 - 2301. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Manca, G. Parenti, R. Bellina, G. Boni, M. Grosso, W. Bernini, C. Palombo, M. Paterni, G. Pelosi, M. Lanza, et al. 111In Platelet Scintigraphy for the Noninvasive Detection of Carotid Plaque Thrombosis Stroke, March 1, 2001; 32(3): 719 - 727. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. S. Kim, D. H. Moon, G. E. Kim, Y. P. Cho, J. S. Kim, J. S. Ryu, and H. K. Lee Acetazolamide Stress Brain-Perfusion SPECT Predicts the Need for Carotid Shunting During Carotid Endarterectomy J. Nucl. Med., November 1, 2000; 41(11): 1836 - 1841. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. O'Neill, D. J. Lanska, and A. Hartz Surgeon characteristics associated with mortality and morbidity following carotid endarterectomy Neurology, September 26, 2000; 55(6): 773 - 781. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Paciaroni, M. Eliasziw, L. J. Kappelle, J. W. Finan, G. G. Ferguson, and H. J. M. Barnett Medical Complications Associated With Carotid Endarterectomy Stroke, September 1, 1999; 30(9): 1759 - 1763. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 Y. Nagai, E J. Metter, and J. L Fleg Increased carotid artery intimal-medial thickness: risk factor for exercise-induced myocardial ischemia in asymptomatic older individuals Vascular Medicine, August 1, 1999; 4(3): 181 - 186. [Abstract] [PDF]
|
|
|
|
 |
|
 J. P. Archie JR Carotid Patching: What is the Optimum Patch Material? Perspectives in Vascular Surgery and Endovascular Therapy, January 1, 1999; 10(2): 111 - 118. [Abstract] [PDF]
|
|
|
|
|
|
L. B. Goldstein, G. P. Samsa, D. B. Matchar, and E. Z. Oddone Multicenter Review of Preoperative Risk Factors for Endarterectomy for Asymptomatic Carotid Artery Stenosis Stroke, April 1, 1998; 29(4): 750 - 753. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P M Rothwell, J Slattery, and C P Warlow Clinical and angiographic predictors of stroke and death from carotid endarterectomy: systematic review BMJ, December 13, 1997; 315(7122): 1571 - 1577. [Abstract] [Full Text]
|
|
|
|
|
|
M. Arnold, M. Sturzenegger, L. Schaffler, and R. W. Seiler Continuous Intraoperative Monitoring of Middle Cerebral Artery Blood Flow Velocities and Electroencephalography During Carotid Endarterectomy : A Comparison of the Two Methods to Detect Cerebral Ischemia Stroke, July 1, 1997; 28(7): 1345 - 1350. [Abstract] [Full Text]
|
|
|
|
|
|
J. H. Wong, J. M. Findlay, and M. E. Suarez-Almazor Regional Performance of Carotid Endarterectomy : Appropriateness, Outcomes, and Risk Factors for Complications Stroke, May 1, 1997; 28(5): 891 - 898. [Abstract] [Full Text]
|
|
|
|
|
|
P.M. Rothwell, J. Slattery, and C.P. Warlow A Systematic Review of the Risks of Stroke and Death Due to Endarterectomy for Symptomatic Carotid Stenosis Stroke, February 1, 1996; 27(2): 260 - 265. [Abstract] [Full Text]
|
|
|
|
|
|
P.M. Rothwell, J. Slattery, and C.P. Warlow A Systematic Comparison of the Risks of Stroke and Death Due to Carotid Endarterectomy for Symptomatic and Asymptomatic Stenosis Stroke, February 1, 1996; 27(2): 266 - 269. [Abstract] [Full Text]
|
|
|
|
 |
|
 L. R. Caplan A 79-Year-Old Musician With Asymptomatic Carotid Artery Disease JAMA, November 1, 1995; 274(17): 1383 - 1389. [Abstract] [PDF]
|
|
|
|
|
|
L. B. Goldstein, A. J. Bonito, D. B. Matchar, P. W. Duncan, G. H. DeFriese, E. Z. Oddone, J. E. Paul, D. R. Akin, and G. P. Samsa US National Survey of Physician Practices for the Secondary and Tertiary Prevention of Ischemic Stroke : Design, Service Availability, and Common Practices Stroke, September 1, 1995; 26(9): 1607 - 1615. [Abstract] [Full Text]
|
|
|
|
|
|
W. S. Moore, H.J.M. Barnett, H. G. Beebe, E. F. Bernstein, B. J. Brener, T. Brott, L. R. Caplan, A. Day, J. Goldstone, R. W. Hobson II, et al. Guidelines for Carotid Endarterectomy : A Multidisciplinary Consensus Statement From the Ad Hoc Committee, American Heart Association Circulation, January 15, 1995; 91(2): 566 - 579. [Abstract] [Full Text]
|
|
|
|
|
|
A. Kazmers Outcome After Surgery: An Evolving Concept Perspectives in Vascular Surgery and Endovascular Therapy, January 1, 1995; 8(1): 109 - 128. [PDF]
|
|
|
|
|
|
W. S. Moore, H.J.M. Barnett, H. G. Beebe, E. F. Bernstein, B. J. Brener, T. Brott, L. R. Caplan, A. Day, J. Goldstone, R. W. Hobson II, et al. Guidelines for Carotid Endarterectomy : A Multidisciplinary Consensus Statement From the Ad Hoc Committee, American Heart Association Stroke, January 1, 1995; 26(1): 188 - 201. [Abstract] [Full Text]
|
|
|
|
 |
|
 S. J. Haines Carotid Endarterectomy for Asymptomatic Carotid Stenosis N. Engl. J. Med., January 28, 1993; 328(4): 276 - 279. [Full Text]
|
|
|
|
 |
|
 R. D. Cebul and J. P. Whisnant Carotid Endarterectomy Ann Intern Med, October 15, 1989; 111(8): 660 - 670. [Abstract] [PDF]
|
|
|
|
 |
|
 A. Kazmers, M. D. Cerqueira, and R. E. Zierler The Role of Preoperative Radionuclide Left Ventricular Ejection Fraction for Risk Assessment in Carotid Surgery Arch Surg, April 1, 1988; 123(4): 416 - 419. [Abstract] [PDF]
|
|
|
|
|
|
D. B. Matchar and S. G. Pauker Endarterectomy in Carotid Artery Disease: A Decision Analysis JAMA, August 14, 1987; 258(6): 793 - 798. [Abstract] [PDF]
|
|
|
|
 |
|
 Shunting During Carotid Endarterectomy-Reply Arch Neurol, December 1, 1986; 43(12): 1223 - 1223. [Abstract] [PDF]
|
|
|
|
|
|
T. G. Brott, R. F. Kempczinski, and R. J. Labutta Changing Patterns in the Practice of Carotid Endarterectomy in a Large Metropolitan Area-Reply JAMA, November 14, 1986; 256(18): 2515 - 2516. [Abstract] [PDF]
|
|