Comparative long-term results of patients with carotid artery stenosis.
Of 78 patients with an internal carotid artery stenosis a thrombendarterectomy was performed in 46 patients whereas 32 patients were treated by conservative methods. The clinical follow-up over a period of 10 years was investigated. The percentage of patients who received drugs for anticoagulation was equal in both groups. Operated patients acquired a permanent neurologic deficit in 3% and nonoperated patients in 69%. The physical capacity improved in 92% of the operated and in 64% of patients treated conservatively. At the time of reexamination 78% of the operated and 34% of the nonoperated patients were living. The cause of death was cardiac in 42% of both groups and cerebral in 11% of the operated and in 32% of the nonoperated patients.
D000206:Actuarial Analysis; D002341:Carotid Artery Thrombosis / Q000601:surgery / Q000628:therapy*; D002343:Carotid Artery, Internal / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male