Long-term results after carotid endarterectomy for carotid artery stenosis with contralateral occlusion.
Patients with one internal carotid artery occlusion and a contralateral stenosis run a significantly higher risk of stroke. We performed endarterectomy of the stenotic carotid in 44 such patients and followed them for mean 54 months (range 1-172 months). Early mortality was 2%. Life-table analysis shows that the incidence of a new stroke was 0.6% per year, the survival rate was 78% after three years, and 70% after five years. We conclude that carotid endarterectomy can be safely performed in patients with contralateral internal carotid artery occlusion and can significantly improve the long-term prognosis of these patients.
Vermassen
F
F
Department of Vascular Surgery, University Hospital, Ghent, Belgium.
Flamme
A
A
De Roose
J
J
Berszenyi
G
G
Derom
F
F
D000368:Aged; D000369:Aged, 80 and over; D001157:Arterial Occlusive Diseases / Q000401:mortality / Q000473:pathology*; D002340:Carotid Artery Diseases / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D002343:Carotid Artery, Internal / Q000601:surgery*; D002561:Cerebrovascular Disorders / Q000517:prevention & control; D003251:Constriction, Pathologic / Q000401:mortality / Q000473:pathology / Q000601:surgery; D004691:Endarterectomy; D005069:Evaluation Studies as Topic; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015993:Life Tables; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012307:Risk Factors; D015996:Survival Rate