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Surgery for Asymptomatic Carotid Stenosis: A Study of Three Patient Subgroups

Surgery for Asymptomatic Carotid Stenosis: A Study of Three Patient Subgroups < 0.01). Seven patients died within the first 30 postoperative days, including three who underwent combined single-stage procedures. Nine patients presented nonfatal stroke, including three who progressively recovered. The cumulative death-stroke rate (CDSR) was 5.12% overall, 3.54% in group I, 12.24% in group II, and 4.09% in group III. The difference between groups I and II was statistically significant (p < 0.05). Taking into account only deaths related to carotid surgery and stroke with permanent disability, the CDSR was 2.83% in group I and 3.25% in group III. Follow-up ranged from 24 to 132 months (mean: 66.2) with a total of 11 patients being lost from follow-up. Actuarial 5-year survival was 81.99 ± 7.13% in group I, 70.65 ± 13.72% in group II, and 68.51 ± 8.93% in group III. Differences between group I and both groups II (p < 0.01) and III (p < 0.05) were statistically significant. Overall 5-year patency was 95.59 ± 2.28%. Stroke occurred during follow-up in 13 patients. The probability of stroke-free survival was 95.29 ± 3.76% in group I, 91.03 ± 8.52% in group II, and 89.09 ± 6.39% in group III. The difference between groups I and III was statistically significant (p < 0.05). Patients with asymptomatic carotid lesions can be divided into different prognostic groups. Life expectancy is shorter for patients with multiple artery disease. Long-term stroke risk is higher in patients with nonhemispheric neurological manifestations. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Annals of Vascular Surgery Springer Journals

Surgery for Asymptomatic Carotid Stenosis: A Study of Three Patient Subgroups

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References (22)

Publisher
Springer Journals
Copyright
Copyright © 1998 by Annals of Vascular Surgery Inc.
Subject
Medicine & Public Health; Abdominal Surgery
ISSN
0890-5096
eISSN
1615-5947
DOI
10.1007/s100169900202
pmid
9841688
Publisher site
See Article on Publisher Site

Abstract

< 0.01). Seven patients died within the first 30 postoperative days, including three who underwent combined single-stage procedures. Nine patients presented nonfatal stroke, including three who progressively recovered. The cumulative death-stroke rate (CDSR) was 5.12% overall, 3.54% in group I, 12.24% in group II, and 4.09% in group III. The difference between groups I and II was statistically significant (p < 0.05). Taking into account only deaths related to carotid surgery and stroke with permanent disability, the CDSR was 2.83% in group I and 3.25% in group III. Follow-up ranged from 24 to 132 months (mean: 66.2) with a total of 11 patients being lost from follow-up. Actuarial 5-year survival was 81.99 ± 7.13% in group I, 70.65 ± 13.72% in group II, and 68.51 ± 8.93% in group III. Differences between group I and both groups II (p < 0.01) and III (p < 0.05) were statistically significant. Overall 5-year patency was 95.59 ± 2.28%. Stroke occurred during follow-up in 13 patients. The probability of stroke-free survival was 95.29 ± 3.76% in group I, 91.03 ± 8.52% in group II, and 89.09 ± 6.39% in group III. The difference between groups I and III was statistically significant (p < 0.05). Patients with asymptomatic carotid lesions can be divided into different prognostic groups. Life expectancy is shorter for patients with multiple artery disease. Long-term stroke risk is higher in patients with nonhemispheric neurological manifestations.

Journal

Annals of Vascular SurgerySpringer Journals

Published: Jan 30, 2014

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