Table 2. Rates of Perioperative Death and Stroke Following CEA by Neurological Indication, Acuity and Timing of Surgery (N=9308).
Specific Neurological Indication for CEA | Number | Prevalence (%) | Death/Stroke Rate % (#) | Any Stroke Rate % (#) |
---|---|---|---|---|
Asymptomatic | 6553 | 71.5 | 3.01 (200) | 2.48 (165) |
Carotid TIA | 1763 | 18.9 | 5.62 (99) | 4.54 (80) |
Minor Stroke | 718 | 7.7 | 6.54 (47) | 5.57 (40) |
Major Stroke | 144 | 1.5 | 14.58 (21) | 11.80 (17) |
Acute Syndromes | 30 | .32 | 13.33 (4) | 10.0 (3) |
Crescendo TIA | 15 | 0.16 | 13.33 (2) | 6.67 (1) |
Stroke-in-evolution | 15 | 0.16 | 13.33 (2) | 13.33 (2) |
Global Categories of Neurological Acuity | ||||
Asymptomatic | 6653 | 71.5 | 3.01 (200) | 2.48 (165) |
No stroke or TIA ever | 5200 | 55.9 | 2.71 (141) | 2.17 (113) |
Distant stroke or TIA* | 1453 | 15.6 | 4.06 (59) | 3.58 (52) |
Symptomatic | 2655 | 28.5 | 6.44 (171) | 5.27 (140) |
Carotid TIA | 1763 | 18.9 | 5.62 (99) | 4.54 (80) |
Stroke | 862 | 9.3 | 7.89 (68) | 6.61 (57) |
Acute syndromes | 30 | 0.32 | 13.33 (4) | 10.0 (3) |
Timing of CEA in Relation to Recency of Carotid Symptoms in Symptomatic Patients | ||||
TIA/Minor Stroke | 2496 | 100.0 | 5.93 (148) | 4.85 (121) |
<2 days | 198 | 7.9 | 7.58 (15) | 6.06 (12) |
2-6 days | 418 | 16.8 | 7.18 (30) | 5.98 (25) |
7-14 days | 379 | 15.2 | 6.86 (26) | 4.75 (18) |
>14 days | 1501 | 60.1 | 5.13 (77) | 4.40 (66) |
Major Stroke | 144 | 1.5 | 14.58 (21) | 11.80 (17) |
< 6 weeks | 93 | 1.0 | 15.05 (14) | 12.90 (12) |
6 weeks to 1 year | 51 | 0.5 | 13.72 (7) | 9.80 (5) |
Distant stroke or TIA means > 1 year prior to CEA