Carotid endarterectomy for nonhemispheric symptoms: Predictors of success
| Autor: | Kenneth Ouriel, John J. Ricotta, Allyn G. May, Richard M. Green, James A. DeWeese |
|---|---|
| Rok vydání: | 1984 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Carotid endarterectomy medicine.disease Asymptomatic % diameter reduction Surgery Carotid stenoses cardiovascular system medicine In patient cardiovascular diseases Radiology medicine.symptom Vertebrobasilar insufficiency Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of Vascular Surgery. 1:339-345 |
| ISSN: | 0741-5214 |
| Popis: | Over a 4-year period 335 patients underwent 402 carotid endarterectomies: 227 (56%) for carotid territory symptoms, 107 (27%) for nonhemispheric symptoms, and 68 (17%) for asymptomatic lesions. In 317 four-vessel arteriograms, proximal subclavian and/or vertebral lesions were found more frequently in the nonhemispheric group (80 of 97, or 82%) than in the carotid territory group (110 of 220, or 50%; p 60% diameter reduction more often than in patients with smaller stenoses (77% vs. 36% asymptomatic at 24 months). Carotid endarterectomy appears justified in patients with nonhemispheric symptoms when classic vertebrobasilar insufficiency and/or hemodynamically significant carotid stenoses are present. (J VASC SURG 1984;1:339-45.) |
| Databáze: | OpenAIRE |
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