Carotid surgery in northern Tasmania: a retrospective review.
A retrospective survey of 138 carotid endarterectomies performed in Northern Tasmania over a 6 year period was conducted to identify risk factors for postoperative neurological complications. A total of 80% of patients were operated on for transient ischaemic attacks (TIA) referable to stenosis of the ipsilateral internal carotid artery (ICA). A total of 77% of patients who were operated on had angiographic evidence of severe (over 80%) stenosis of the affected ICA. A combined postoperative permanent neurological deficit and mortality rate of 5.8% was achieved. Severe stenosis of the contralateral internal carotid artery and pre-operative symptomatic instability were associated with the development of postoperative neurological complications.
Subramaniam
P
P
University Department of Surgery, University of Tasmania, Hobart.
Stary
D
D
Scott
A
A
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002340:Carotid Artery Diseases / Q000601:surgery; D002543:Cerebral Hemorrhage / Q000209:etiology; D002544:Cerebral Infarction / Q000209:etiology; D002561:Cerebrovascular Disorders / Q000209:etiology; D016894:Endarterectomy, Carotid / Q000706:statistics & numerical data*; D005260:Female; D006429:Hemiplegia / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012189:Retrospective Studies; D012307:Risk Factors; D013648:Tasmania