Abstract
Two hundred seventy-six carotid endarterectomies performed on 232 patients in a community hospital were reviewed. All the surgery was performed in a routine manner utilizing systemic heparinization and an indwelling shunt. There were three deaths in this series, giving a mortality of 1.08%. A transient neurological deficit occurred in seven patients. All of these cleared within a 7-day period; this represents 2.5%. Only one patient had a permanent deficit. Long-term followup from 6 months to 9 years showed that the majority of deaths occurred from myocardial disease and malignancies. Only eight patients later died from stroke.
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- Blaisdell W. F., Clauss R. H., Galbraith J. G., Imparato A. M., Wylie E. J. Joint study of extracranial arterial occlusion. IV. A review of surgical considerations. JAMA. 1969 Sep 22;209(12):1889–1895. [PubMed] [Google Scholar]
- DEBAKEY M. E., CRAWFORD E. S., COOLEY D. A., MORRIS G. C., Jr, GARRET H. E., FIELDS W. S. CEREBRAL ARTERIAL INSUFFICIENCY: ONE TO 11-YEAR RESULTS FOLLOWING ARTERIAL RECONSTRUCTIVE OPERATION. Ann Surg. 1965 Jun;161:921–945. doi: 10.1097/00000658-196506000-00011. [DOI] [PMC free article] [PubMed] [Google Scholar]
- DeWeese J. A., Rob C. G., Satran R., Marsh D. O., Joynt R. J., Lipchik E. O., Zehl D. N. Endarterectomy for atherosclerotic lesions of the carotid artery. J Cardiovasc Surg (Torino) 1971 Jul-Aug;12(4):299–308. [PubMed] [Google Scholar]
- EASTCOTT H. H., PICKERING G. W., ROB C. G. Reconstruction of internal carotid artery in a patient with intermittent attacks of hemiplegia. Lancet. 1954 Nov 13;267(6846):994–996. doi: 10.1016/s0140-6736(54)90544-9. [DOI] [PubMed] [Google Scholar]
- Edwards W. S., Wilson T. A., Bennett A. The long-term effectiveness of carotid endarterectomy in prevention of strokes. Ann Surg. 1968 Oct;168(4):765–770. doi: 10.1097/00000658-196810000-00020. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fields W. S., Maslenikov V., Meyer J. S., Hass W. K., Remington R. D., Macdonald M. Joint study of extracranial arterial occlusion. V. Progress report of prognosis following surgery or nonsurgical treatment for transient cerebral ischemic attacks and cervical carotid artery lesions. JAMA. 1970 Mar 23;211(12):1993–2003. doi: 10.1001/jama.211.12.1993. [DOI] [PubMed] [Google Scholar]
- Haynes C. D., Gideon D. A., King G. D., Dempsey R. L. The improvement of cognition and personality after carotid endarterectomy. Surgery. 1976 Dec;80(6):699–704. [PubMed] [Google Scholar]
- Nunn D. B. Carotid endarterectomy: an analysis of 234 operative cases. Ann Surg. 1975 Dec;182(6):733–738. doi: 10.1097/00000658-197512000-00014. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Prioleau W. H., Jr, Alken A. F., Hairston P. Carotid endarterectomy: neurologic complications as related to surgical techniques. Ann Surg. 1977 Jun;185(6):678–683. doi: 10.1097/00000658-197706000-00010. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Thompson J. E., Austin D. J., Patman R. D. Carotid endarterectomy for cerebrovascular insufficiency: long-term results in 592 patients followed up to thirteen years. Ann Surg. 1970 Oct;172(4):663–679. doi: 10.1097/00000658-197010000-00012. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Thompson J. E. The development of carotid artery surgery. Arch Surg. 1973 Nov;107(5):643–648. doi: 10.1001/archsurg.1973.01350230003002. [DOI] [PubMed] [Google Scholar]