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Contralateral Occlusion Increases the Risk of Neurological Complications Associated with Carotid Endarterectomy
المؤلفون المشاركون
Sirignano, P.
Capoccia, Laura
Sbarigia, Enrico
Rizzo, Anna Rita
Pranteda, Chiara
Menna, Danilo
Mansour, Wassim
Esposito, Andrea
Speziale, Francesco
المصدر
International Journal of Vascular Medicine
العدد
المجلد 2015، العدد 2015 (31 ديسمبر/كانون الأول 2015)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2015-01-29
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
Objective.
To report on the incidence and factors associated with the development of perioperative neurological complications following CEA in patients affected by carotid stenosis with contralateral occlusion (CO) and to compare results between those patients and the whole group of patients submitted to CEA at our vascular division from 1997 to 2012.
Methods.
Our nonrandomized prospective experience including 1639 patients consecutively submitted to CEA was retrospectively reviewed.
136 patients presented a CO contralateral to the treated carotid stenosis.
Outcomes considered for analysis were perioperative neurological death rates, major and minor stroke rates, and a combined endpoint of all neurological complications.
Results.
CO patients more frequently were male, smokers, younger, and symptomatic (P < 0.001), presented with a preoperative brain infarct and associated peripheral arterial disease (P < 0.0001), and presented with higher perioperative major stroke rate than patients without CO (4.4% versus 1.2%, resp., P = 0.009).
Factors associated with the highest neurological risk in CO patients were age >74 years and preoperative brain infarct (P = 0.03).
The combination of the abovementioned factors significantly increased complication rates in CO patients submitted to CEA.
Conclusions.
In our experience CO patients were at high risk for postoperative neurological complications particularly when presenting association of advanced age and preoperative brain infarction.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Capoccia, Laura& Sbarigia, Enrico& Rizzo, Anna Rita& Pranteda, Chiara& Menna, Danilo& Sirignano, P.…[et al.]. 2015. Contralateral Occlusion Increases the Risk of Neurological Complications Associated with Carotid Endarterectomy. International Journal of Vascular Medicine،Vol. 2015, no. 2015, pp.1-8.
https://search.emarefa.net/detail/BIM-1066991
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Capoccia, Laura…[et al.]. Contralateral Occlusion Increases the Risk of Neurological Complications Associated with Carotid Endarterectomy. International Journal of Vascular Medicine No. 2015 (2015), pp.1-8.
https://search.emarefa.net/detail/BIM-1066991
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Capoccia, Laura& Sbarigia, Enrico& Rizzo, Anna Rita& Pranteda, Chiara& Menna, Danilo& Sirignano, P.…[et al.]. Contralateral Occlusion Increases the Risk of Neurological Complications Associated with Carotid Endarterectomy. International Journal of Vascular Medicine. 2015. Vol. 2015, no. 2015, pp.1-8.
https://search.emarefa.net/detail/BIM-1066991
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1066991
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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