PMID: 9555930Apr 29, 1998Paper

Entering the ninth decade is not a contraindication for carotid endarterectomy

Angiology
J J HoballahJ D Corson

Abstract

The role of carotid endarterectomy (CEA) in stroke prevention is now better defined. However, its role in patients older than 79 years of age is controversial. This group of patients has been excluded in most clinical trials. In this study the authors reviewed their experience with CEA patients >79 years old. The records of all patients older than 79 years of age who underwent a CEA in a recent time period from January 1988 to December 1996 were retrospectively reviewed. Forty-one patients (31 men, 10 women) were identified by computer search. The indication for operation included transient ischemic attack in 12 (29.3%), amaurosis fugax in nine (22%), stroke in two (4.9%), and nonhemispheric symptoms in three (7.3%). Fifteen patients (36.6%) were asymptomatic. Medical risk factors included coronary artery disease in 26 (63.4%), hypertension in 22 (53.7%), and smoking in 12 (29.3%). The procedure was performed under EEG monitoring in all patients. General anesthesia was administered in 37 (90%) and regional anesthesia in four (10%). Shunts were used in four (10%) patients. The internal carotid artery was patched in 16 patients (39%). One patient (2.4%) developed a perioperative stroke and only one patient developed perioperative...Continue Reading

References

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Citations

Mar 10, 2000·Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society·F MinicucciG Comi
May 30, 2009·Journal of the American College of Surgeons·Asad A UsmanMark K Eskandari
Dec 16, 2004·Annals of Vascular Surgery·Amir H DorafsharJulie A Freischlag
Jan 16, 1999·The Journal of Surgical Research·A KazmersL A Jacobs
Oct 18, 2005·American Journal of Surgery·David LauAgelikie Vouyouka
Apr 26, 2005·Journal of the American College of Surgeons·Desarom TesoAlan Dardik
Mar 16, 2005·Journal of Vascular Surgery·M Todd MillerJay Hammerling
Sep 5, 2006·Journal of Vascular Surgery·Craig R Narins, Karl A Illig

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