Carotid endarterectomy: clinical results in a community-based teaching hospital

Since 1971, 688 consecutive carotid endarterectomies were performed in 612 patients in a community-based teaching hospital by 16 surgeons; 82% of the procedures were performed in patients who had suffered a transient ischemic attack, amaurosis fugax, or a previous stroke. Seven patients (1%) died, f...

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Bibliographic Details
Published in:Stroke (1970) 1988-11, Vol.19 (11), p.1323-1327
Main Authors: FRIEDMANN, P, GARB, J. L, BERMAN, J, SULLIVAN, C, CELORIA, G, SANG WON RHEE
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Cardiovascular Diseases - etiology
Carotid Arteries - surgery
Cerebrovascular Disorders - etiology
Endarterectomy - adverse effects
Endarterectomy - mortality
Female
Hospitals, Community
Hospitals, Teaching
Humans
Male
Medical sciences
Middle Aged
Nervous System Diseases - etiology
Neurosurgery
Skull, brain, vascular surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
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Summary:Since 1971, 688 consecutive carotid endarterectomies were performed in 612 patients in a community-based teaching hospital by 16 surgeons; 82% of the procedures were performed in patients who had suffered a transient ischemic attack, amaurosis fugax, or a previous stroke. Seven patients (1%) died, five of perioperative stroke and two of myocardial infarction. Thirty-one patients suffered a perioperative stroke (4.5% of the 688 endarterectomies); 20 patients (2.9% of 688) were left with moderate to severe neurologic deficits. The combined mortality/major neurologic deficit morbidity rate (number of patients divided by number of endarterectomies) is 3.2%. Both operative mortality and morbidity have progressively declined in successive 5-year periods, with no deaths and a 2.7% stroke rate in 148 endarterectomies performed after 1984. Our results indicate that carotid endarterectomy as practiced in a community-based teaching hospital can be performed without excessive risk.
ISSN:0039-2499
1524-4628
DOI:10.1161/01.STR.19.11.1323