PMID: 8944454Oct 1, 1996Paper

Prospective study of carotid endarterectomy and contralateral carotid occlusion

The British Journal of Surgery
A F da SilvaL de Cossart

Abstract

A total of 700 patients who had carotid endarterectomy (CEA) in the UK and Ireland during a 6-month interval between March and August 1994 were studied prospectively. Some 108 patients (15.4 per cent) had a contralateral internal carotid artery occlusion. Previous reports have shown an associated stroke rate of about 10 per cent in these patients. This study assessed complications and outcome for patients undergoing CEA with contralateral internal carotid artery occlusion compared with those without. The indications for surgery were comparable between the two groups although the patients with occlusion had a slightly higher incidence of arrhythmia and stroke. Intraoperative shunts were used in a significantly higher proportion of those with occlusion (83.3 versus 64.7 per cent, P = 0.0001). The combined death and stroke rate for patients with occlusion was 5.6 per cent compared with 2.4 per cent for the remainder (P not significant). On the basis of the present data, CEA with a contralateral carotid artery occlusion carries only a slight increase in the rate of postoperative stroke and death. This increase was not statistically significant and is lower than that reported previously.

References

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Citations

Oct 30, 1998·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·R H SamsonJ P Yunis
Mar 7, 2013·Journal of Vascular Surgery·George A AntoniouFerdinand Serracino-Inglott
Apr 5, 2013·Journal of Thrombosis and Thrombolysis·Yongkun LiXinfeng Liu
Oct 12, 2014·Annals of Vascular Surgery·Kosmas I Paraskevas, Frank J Veith
Dec 18, 2007·Annals of Vascular Surgery·Winfried MaatzGerhard Walterbusch
May 4, 2013·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·G FaggioliA Stella
Jul 20, 2002·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·G LucertiniP Belardi
Jul 20, 2002·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·R PulliC Pratesi
Oct 7, 2004·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·B CinarE Eren
Dec 6, 2005·Cerebrovascular Diseases·Alejandro GonzálezAlberto Gil-Peralta
Feb 19, 2020·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Damianos G KokkinidisEhrin J Armstrong
Feb 19, 2021·Journal of the American College of Surgeons·Hanaa Dakour-AridiMahmoud Malas
Mar 30, 2019·Journal of Vascular Surgery·Ryan S TurleyLeila Mureebe

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