CAROTID ENDARTERECTOMY FOR ASYMPTOMATIC CAROTID ARTERY STENOSIS: PATIENTS WITH SEVERE BILATERAL DISEASE A HIGH RISK SUBGROUP

• DOI: 10.1111/j.1445-2197.1995.tb00599.x
• Publication Date: 2008-01-21T09:36:37Z
• Authors: Michael Appleberg; David Cottier; John Crozier; John Graham; Rodney Lane
• Keywords: Stroke; Endarterectomy; Carotid artery disease

Carotid endarterectomy if advised for asymptomatic disease must be associated with a low peri-operative morbidity and mortality satisfactory long-term results. Over 12 year period between 1978-1989 181 carotid endarterectomies were performed on 163 patients artery stenosis. There 112 males 51 females mean age of 64.9 years. All had high-grade lesion (> 70% stenosis). The combined operative stroke rate was 2.8%. On follow up six suffered stroke. Only one patient however sustained in the same territory as previously operated artery. Four years following surgery 78% alive. restenosis or occlusion occurred 8.3% remaining patients, all whom asymptomatic. immediate postoperative strokes severe bilateral disease. These appear to constitute high risk sub-group role 'normal pressure-hyperperfusion breakthrough' syndrome presumed aetiology two cerebral haemorrhages is discussed.