Early carotid endarterectomy after non-disabling ischaemic stroke

• Verfasst von: Eckstein, Hans-Henning [VerfasserIn]
• Verfasst von: Schumacher, Hardy [VerfasserIn]
• Verfasst von: Laubach, Hans-Heinrich [VerfasserIn]
• Verfasst von: Ringleb, Peter A. [VerfasserIn]
• Verfasst von: Forsting, Michael [VerfasserIn]
• Verfasst von: Dörfler, Arnd [VerfasserIn]
• Verfasst von: Bardenheuer, Hubert J. [VerfasserIn]
• Verfasst von: Allenberg, Jens-Rainer [VerfasserIn]
• Titel: Early carotid endarterectomy after non-disabling ischaemic stroke
• Titelzusatz: adequate therapeutical option in selected patients
• Verf.angabe: H.-H. Eckstein, H. Schumacher, H. Laubach, P. Ringleb, M. Forsting, A. Dörfler, H. Bardenheuer, J.-R. Allenberg
• Jahr: 1998
• Umfang: 6 S.
• Fussnoten: Elektronische Reproduktion der Druck-Ausgabe 12. September 2005 ; Gesehen am 02.01.2024
• Titel Quelle: Enthalten in: European journal of vascular and endovascular surgery
• Ort Quelle: New York, NY : Elsevier, 1995
• Jahr Quelle: 1998
• Band/Heft Quelle: 15(1998), 5, Seite 423-428
• ISSN Quelle: 1532-2165
• DOI: doi:10.1016/S1078-5884(98)80204-9
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Carotid endarterectomy
• Sach-SW: Early period
• Sach-SW: Neurological outcome
• Sach-SW: Non-disabling stroke
• K10plus-PPN: 1877040444

Abstract

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.