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- Title
Outcome of Carotid Endarterectomy for Acute Neurological Deficit.
- Authors
Mussa, Firas F.; Aaronson, Nicole; Lamparello, Patrick J.; Maldonado, Thomas S.; Cayne, Neal S.; Adelman, Mark A.; Riles, Thomas S.; Rockman, Caron B.
- Abstract
We reviewed our experience with urgent carted intervention in the setting of acute neurological deficits. Between June 1992 and August 2008, a total of 3145 carted endarterectomies (CEA) were performed. Twenty-seven patients (<1.0%) were categorized as urgent. The mean age was 74.1 years (range 56-93 years) with 16 (60%) men, and 11 (40%) women, Symptoms included extremity weakness or paralysis (n = 13), amaurosis fugax (n = 6), speech difficulty (n = 2), and syncope, (n = 3). Three patients exhibited a combination of these symptoms. Three open thrombectomy were performed. Regional anesthesia was used in 13 patients (52%). Seventeen patients (67%), required shunt placement. At 30-days, 2 patient (7%) suffered a stroke, and 1 (4%) died. Urgent CEA can be performed safely. A stroke rate of 7% is acceptable in those who may otherwise suffer a dismal outcome without intervention.
- Subjects
ENDARTERECTOMY; PARALYSIS; AMAUROSIS fugax; SYNCOPE; CONDUCTION anesthesia
- Publication
Vascular & Endovascular Surgery, 2009, Vol 43, Issue 4, p364
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/1538574409335276