Angiographic long-term outcome of carotid endarterectomy.
Late postoperative digital subtraction angiographic (DSA) findings after a mean follow-up of 6 years were examined after 61 internal carotid artery (ICA) endarterectomies performed for symptomatic (mainly TIAs) ICA stenosis on 52 patients. All 34 surviving patients were re-examined. Six of them (17.6%) had become neurologically symptomatic during the follow-up period with an annual stroke rate of 1%. DSA revealed progression of ipsilateral ICA stenosis in seven cases (23%), two of whom had evidence of bilateral angiographic deterioration. Two out of seven patients had symptomatic ipsilateral restenosis (6%). Progression of contralateral ICA stenosis was detected in five cases (16%).
Lepojärvi
M V
MV
Department of Thoracic and Cardiovascular Surgery, Oulu University Central Hospital, Finland.
D000328:Adult; D000368:Aged; D015901:Angiography, Digital Subtraction; D002545:Brain Ischemia / Q000601:surgery; D002339:Carotid Arteries / Q000000981:diagnostic imaging; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D002544:Cerebral Infarction / Q000601:surgery; D003251:Constriction, Pathologic / Q000000981:diagnostic imaging / Q000601:surgery; D004691:Endarterectomy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D012008:Recurrence