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Early Carotid Endarterectomy after a Nondisabling Stroke: A Prospective Study

Early Carotid Endarterectomy after a Nondisabling Stroke: A Prospective Study Early Carotid Endarterectomy after a Nondisabling Stroke: A Prospective Study Jean-Baptiste Ricco, MD, Giulio Illuminati, MD, Marie He ´le `ne Bouin-Pineau, MD, PhD, Catherine Demarque, MD, Christophe Camiade, MD, Lisa Blecha, MD, and Jean-Philippe Neau, MD, Poitiers, France On the recommendation of several studies, carotid endarterectomy (CEA) should be delayed for at least 6 weeks in patients suffering an acute nondisabling stroke. Our objective was to deter- mine if these patients could be safely operated on earlier, thus decreasing the risk of a recurrent stroke prior to surgery. This prospective study, carried out from January 1990 to December 1997, included 72 consecutive patients having a nondisabling hemispheric stroke with severe ipsilateral carotid stenosis (NASCET 70-99%). All patients underwent CEA within 15 days of stroke onset. Patients were considered to have a nondisabling hemispheric stroke if (1) symp- toms of hemispheric ischemia persisted longer than 24 hr and (2) the resulting deficit caused no major impairment in their everyday activities. All patients were examined by a neurologist prior to carotid angiography and contrast CT scan. Hemorrhage seen on the initial CT scan eliminated the patient from the study. If the CT scan with contrast injection was negative, patients under- went http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Annals of Vascular Surgery Springer Journals

Early Carotid Endarterectomy after a Nondisabling Stroke: A Prospective Study

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References (24)

Publisher
Springer Journals
Copyright
Copyright © 2000 by by Annals of Vascular Surgery, Inc.
Subject
Medicine & Public Health; Abdominal Surgery
ISSN
0890-5096
eISSN
1615-5947
DOI
10.1007/s100169910016
Publisher site
See Article on Publisher Site

Abstract

Early Carotid Endarterectomy after a Nondisabling Stroke: A Prospective Study Jean-Baptiste Ricco, MD, Giulio Illuminati, MD, Marie He ´le `ne Bouin-Pineau, MD, PhD, Catherine Demarque, MD, Christophe Camiade, MD, Lisa Blecha, MD, and Jean-Philippe Neau, MD, Poitiers, France On the recommendation of several studies, carotid endarterectomy (CEA) should be delayed for at least 6 weeks in patients suffering an acute nondisabling stroke. Our objective was to deter- mine if these patients could be safely operated on earlier, thus decreasing the risk of a recurrent stroke prior to surgery. This prospective study, carried out from January 1990 to December 1997, included 72 consecutive patients having a nondisabling hemispheric stroke with severe ipsilateral carotid stenosis (NASCET 70-99%). All patients underwent CEA within 15 days of stroke onset. Patients were considered to have a nondisabling hemispheric stroke if (1) symp- toms of hemispheric ischemia persisted longer than 24 hr and (2) the resulting deficit caused no major impairment in their everyday activities. All patients were examined by a neurologist prior to carotid angiography and contrast CT scan. Hemorrhage seen on the initial CT scan eliminated the patient from the study. If the CT scan with contrast injection was negative, patients under- went

Journal

Annals of Vascular Surgery – Springer Journals

Published: Jan 23, 2014

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