The practice of carotid endarterectomy in a large metropolitan area

Thomas G Brott, K. Thalinger

Research output: Contribution to journalArticle

148 Citations (Scopus)

Abstract

All carotid endarterectomies performed in the greater Cincinnati metropolitan area during 1980 were reviewed. For the 431 procedures performed in 16 hospitals, the operative stroke rate was 8.6% (37 of 431), and the operative mortality rate was 2.8% (12 of 431). The combined morbidity and mortality was 9.5% (41 of 431). Fifty percent of the procedures were done for asymptomatic carotid disease (216 of 431) and 50% were done for symptomatic carotid disease (215 of 431). The stroke rate was 5.6% for the asymptomatic patients and 11.6% for the symptomatic patients (difference significant, p < 0.05). Neurosurgeons and vascular surgeons had similar surgical morbidity. All of the operative strokes involved the hemisphere ipsilateral to the endarterectomy. Fifty-seven percent of the operative strokes (21 of 37) occurred after a neurologically intact interval lasting hours to days. Four occurred following combined endarterectomy-coronary bypass surgery, and one was an intracerebral hemorrhage. The other late strokes (17) occurred without evidence for cardiac embolus or hemorrhage, consistent with a thrombogenic-embologenic operative site, and raising the question of need for adjunctive perioperative medical therapy.

Original languageEnglish (US)
Pages (from-to)950-955
Number of pages6
JournalStroke
Volume15
Issue number6
StatePublished - 1984
Externally publishedYes

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Carotid Endarterectomy
Stroke
Endarterectomy
Morbidity
Asymptomatic Diseases
Mortality
Cerebral Hemorrhage
Embolism
Blood Vessels
Hemorrhage

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Neuroscience(all)

Cite this

The practice of carotid endarterectomy in a large metropolitan area. / Brott, Thomas G; Thalinger, K.

In: Stroke, Vol. 15, No. 6, 1984, p. 950-955.

Research output: Contribution to journalArticle

Brott, TG & Thalinger, K 1984, 'The practice of carotid endarterectomy in a large metropolitan area', Stroke, vol. 15, no. 6, pp. 950-955.
Brott, Thomas G ; Thalinger, K. / The practice of carotid endarterectomy in a large metropolitan area. In: Stroke. 1984 ; Vol. 15, No. 6. pp. 950-955.
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