Early carotid endarterectomy after non-disabling ischaemic stroke: adequate therapeutical option in selected patients
Objective: - To evaluate neurological outcome and long-term results of early carotid endarterectomy (CEA) after nondisabling stroke. - Materials: - Retrospective study between 1980 and 1995 of 56 patients undergoing CEA within 4 weeks of a transient (n = 15) or a permanent non-disabling (n = 41) isc...
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| Main Authors: | , , , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
1998
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| In: |
European journal of vascular and endovascular surgery
Year: 1998, Volume: 15, Issue: 5, Pages: 423-428 |
| ISSN: | 1532-2165 |
| DOI: | 10.1016/S1078-5884(98)80204-9 |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/S1078-5884(98)80204-9 Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S1078588498802049 
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| Author Notes: | H.-H. Eckstein, H. Schumacher, H. Laubach, P. Ringleb, M. Forsting, A. Dörfler, H. Bardenheuer, J.-R. Allenberg |
MARC
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| 245 | 1 | 0 | |a Early carotid endarterectomy after non-disabling ischaemic stroke |b adequate therapeutical option in selected patients |c H.-H. Eckstein, H. Schumacher, H. Laubach, P. Ringleb, M. Forsting, A. Dörfler, H. Bardenheuer, J.-R. Allenberg |
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| 520 | |a Objective: - To evaluate neurological outcome and long-term results of early carotid endarterectomy (CEA) after nondisabling stroke. - Materials: - Retrospective study between 1980 and 1995 of 56 patients undergoing CEA within 4 weeks of a transient (n = 15) or a permanent non-disabling (n = 41) ischaemic stroke. - Methods: - Analyses of preoperative cerebral CT imaging, neurological outcome (mod. Rankin-scale) and long-term results (life-table analyses according to Kaplan-Meier). - Results: - Incidence of early CEA increased from 1.7% (27 out of 1636) in the period 1980-1993 to 7.8% (29 out of 374) between 1994 and 1995. CEA was indicated after a neurological plateau phase was established (median interval 14 days). Fifty-seven per cent of the CEA patients had a minor ischaemic infarction (area <2 cm), 18% showed a large territorial ischaemic infarction (area 2-5 cm) in cerebral CT imaging. Two patients deteriorated postoperatively (minor stroke rate 4%) but no major stroke or death occurred. Life-table probability of stroke-free survival (mean follow-up 42.7 months) was 94%, 90% and 84%, respectively, after 1, 2 and 5 years. Kaplan-Meier survival rates were 96%, 91% and 86% after 1, 2 and 5 years: - Conclusions: - Early CEA after non-disabling stroke is a safe procedure in selected patients. | ||
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