title: Stroke, myocardial infarction, and survival during long-term follow-up after carotid endarterectomy.
abstract: Epidemiological data on 211 patients undergoing 256 carotid endarterectomies were reviewed, and current data for the 205 perioperative survivors were analyzed by the actuarial method. The median follow-up period was 7.0 years (range: 1 month to 23.2 years). Seven percent of patients were lost to follow-up. Actuarial survival was 77% (5 years) and 49% (10 years), but lower than for the general population. Late stroke occurred in 27 patients (13%) (fatal in 9), being ipsilateral to an endarterectomy in only 10 (4.9%). The annual ipsilateral stroke rate (0.41%), comparable to that of the general population, suggests protection from subsequent stroke. Myocardial infarction occurred in 69 patients (34%), and accounted for 49% of late deaths.
authors.affiliation: Department of Surgery, Bowman Gray School of Medicine, Wake Forest University Medical Center, Winston-Salem, North Carolina.
authors.forename: K S
authors.initials: KS
authors.lastname: Lee
authors.forename: C H
authors.initials: CH
authors.lastname: Davis
mesh_terms: D000206:Actuarial Analysis; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002339:Carotid Arteries / Q000601:surgery*; D002561:Cerebrovascular Disorders / Q000209:etiology* / Q000401:mortality; D004691:Endarterectomy; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology* / Q000401:mortality; D011183:Postoperative Complications; D013997:Time Factors