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Carotid Endarterectomy, Clinical Results in a Community-Based Teaching Hospital
Stroke 19:1323-1327, Friedmann,P.,et al, 1988
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Article Abstract
Since 1971,688 consecutive carotid endarterectomies were performed in 612 patients in a community-based teaching hospital by 16 surgeons;82%of the procedures were performed in patients who had suffered a transient ischemic attack,amaurosis fugax,or a previous stroke.Seven patients(1%) died,five of perioperative stroke and two of myocardial infarction.Thirty- one patients suffered a perioperative stroke(4.5%of the 688 endarterectomies);20 patients(2.9%of 688)were left with moderate to severe neurologic deficits.The combined mortality/major neurologic deficit morbidity rate(number of patients divided by number of endarterectomies)is 3.2%.Both operative mortality and morbidity have progressively declined in successive 5-year periods,with no deaths and a 2.7%stroke rate in 148 endarterectomies performed after 1984.Our results indicate that carotid endarterectomy as practiced in a community-based teaching hospital can be performed without excessive risk.
 
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cerebrovascular accident
cerebrovascular accident,surgical treatment of
cerebrovascular disease,surgical treatment of
cerebrovascular disease,treatment of
endarterectomy,carotid
endarterectomy,carotid-complications of
endarterectomy,carotid-morbidity and mortality with
transient ischemic attack
transient ischemic attack,treatment of
treatment of neurologic disorder

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