Results from 88 consecutive prophylactic carotid endarterectomies in cerebral infarction and transitory ischemic attacks.
Thirty-two patients with transitory ischemic attacks (TIA), 55 with cerebral infarction (minor stroke) and one with a disturbing bruise underwent carotid endarterectomy during a 4 year period. Within the first 2 weeks postoperatively, 10 patients (11%) had developed new neurological symptoms from the operated side. Two patients died postoperatively due to major stroke and 2 patients developed persistent neurological deficits, yielding a total operative mortality and permanent morbidity rate of 4.5%. In the other 6 patients, the neurological signs and symptoms disappeared completely within one month. During a follow-up for an average of 21 months, the only symptoms from the operated side were TIA in 2 patients, while 3 patients developed TIA and 5 infarctions from other vascular territories.
D000367:Age Factors; D000368:Aged; D002343:Carotid Artery, Internal / Q000601:surgery*; D002544:Cerebral Infarction / Q000517:prevention & control / Q000601:surgery*; D004691:Endarterectomy; D005500:Follow-Up Studies; D006801:Humans; D007431:Intraoperative Complications; D002546:Ischemic Attack, Transient / Q000517:prevention & control / Q000601:surgery*; D008875:Middle Aged; D011183:Postoperative Complications; D011379:Prognosis; D012306:Risk