Risk Factors for Complications After Carotid Endarterectomy—A Population-based Study

• Published in: European journal of vascular and endovascular surgery 2004-07, Vol.28 (1), p.98-103
• Main Authors: Kragsterman, B, Logason, K, Ahari, A, Troëng, T, Parsson, H, Bergqvist, D
• Format: Article
• Language: English
• Subjects: Aged; Aged, 80 and over; Aortic Rupture - epidemiology; Aortic Rupture - etiology; Carotid endarterectomy; Case-Control Studies; Endarterectomy, Carotid - adverse effects; Female; Follow-Up Studies; Humans; Ischemic Attack, Transient - epidemiology; Ischemic Attack, Transient - etiology; Male; MEDICIN; MEDICINE; Middle Aged; Population-based; Postoperative Complications - epidemiology; Postoperative Complications - etiology; Retrospective Studies; Risk Factors; Stroke - epidemiology; Stroke - etiology; Survival Analysis; Sweden - epidemiology; Treatment Outcome
• ISSN: 1078-5884; 1532-2165; 1532-2165
• DOI: 10.1016/j.ejvs.2004.03.016

Objectives. The overall benefit of carotid endarterectomy (CEA) is dependent on the outcome from the procedure. However, many reports are from selected centres and not population-based. The aim of this study was to assess the 30-day complication rate for a whole country and also to determine independent risk factors for serious complications. Materials and methods. One thousand five hundred and eighteen CEA were retrospectively reviewed, covering principally all the CEAs in Sweden, during a three year period. Indications for surgery were; minor stroke 34%, TIA 34%, amaurosis fugax 18%, asymptomatic 11% and others 3%. Data were collected from the Swedish Vascular Registry (Swedvasc). Combined cohort and case–control methodology was used. Results. Registered complications were; 43 permanent strokes, 32 transient strokes (