Contralateral Occlusion Increases the Risk of Neurological Complications Associated with Carotid Endarterectomy
Joint Authors
Sirignano, P.
Capoccia, Laura
Sbarigia, Enrico
Rizzo, Anna Rita
Pranteda, Chiara
Menna, Danilo
Mansour, Wassim
Esposito, Andrea
Speziale, Francesco
Source
International Journal of Vascular Medicine
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-01-29
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract 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.
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1066991