PMID: 11604337Oct 18, 2001Paper

Reconstructive surgery for carotid artery occlusive disease in the elderly--a high risk operation?

Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery
A OmmerW Sandmann

Abstract

Patients over 80 yr of age may require carotid surgery for symptomatic or critical asymptomatic carotid artery occlusive disease.A total of 2262 operations were performed between 1990 and 1999; 76 (3.4%) were carotid reconstructions in 70 patients over 80 yr of age. Twenty patients (26%) presented with asymptomatic critical stenosis. Transient ischemic symptoms were the reason for presentation in 35 patients (46%). Progressive stroke was documented in two patients (3%) and a stroke with persisting neurological deficit was demonstrated in 19 cases (25%). Coronary artery disease was present in 47 patients (38%) and arterial hypertension in 55 (72%). Fifty-nine patients (84%) were classified as ASA group 3. Seventy-one thromboendarterectomies of the carotid bifurcation with vein-patch closure were performed. Five patients had other types of reconstruction. Simultaneous operations (aorto-coronary vein-bypass, aortic interposition graft etc.) were performed in nine patients. Postoperative complications occurred in three patients. One had a transient neurological deficit and another a lethal stroke; the third patient died from myocardial infarction. The in-hospital mortality was 2.9%, which was not significantly higher than the resul...Continue Reading

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Citations

Feb 24, 2007·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·H W KniemeyerA Pühler
Aug 30, 2008·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Paul T L ChiamJiri J Vitek
Mar 16, 2005·Journal of Vascular Surgery·M Todd MillerJay Hammerling
Sep 5, 2006·Journal of Vascular Surgery·Craig R Narins, Karl A Illig
Mar 25, 2014·Journal of Vascular Surgery·Salvatore T ScaliThomas S Huber
Mar 19, 2008·Expert Review of Neurotherapeutics·Kamaldeep S Heyer, Mark K Eskandari

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