[Carotid endarterectomy: an intervention not without risk].
The authors report the result of 141 carotid endarterectomies, 6 of which were done for total occlusion, performed on 128 patients (97 men and 31 women). Mortality was 4.9%, decreasing to 2.9% after a more rigorous selection of the patients. Morbidity was 11.3% without evolution along the years and local complications were 12%. 83 patients were controlled with ultrasounds from 12 to 123 months after operation (mean delay: 50.6 months). There were 15% of more than 50% restenosis and 7.6% of occlusions. These results are compared with those of literature. They make the necessity of endarterectomy very controversial. At the moment, as long as the results of randomised multicenter studies are not known, each case must be thought of very cautiously before deciding any operation.
Rohr-Le Floch
J
J
Clinique de Neurologie, Hôpital Cantonal Universitaire, Genève.
Frey
E
E
Hillion
C
C
Gauthier
G
G
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001161:Arteriosclerosis / Q000601:surgery*; D002545:Brain Ischemia / Q000601:surgery; D002340:Carotid Artery Diseases / Q000601:surgery*; D002343:Carotid Artery, Internal / Q000601:surgery; D004691:Endarterectomy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000401:mortality*; D012307:Risk Factors
Endartériectomie carotidienne: une intervention non dénuée de risque.