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Urgent Carotid Surgery : Is It Still out of Debate?
Joint Authors
Taurino, Maurizio
Persiani, F.
Battocchio, C.
Raffa, S.
Fantozzi, Cristiano
Rizzo, L.
Source
International Journal of Vascular Medicine
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-03-19
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Patients with symptomatic tight carotid stenosis have an increased short-time risk of stroke and an increased long-term risk of ischaemic vascular events compared with the general population.
The aim of this study is to assess the safety, efficacy, and limitations of urgent CEA or CAS, in patients with carotid stenosis greater than 70% and clinically characterized by recurrent TIA or brain damage following a stroke (<2.5 cm).
This study involved 28 patients divided into two groups.
Group A consisted of sixteen patients who had undergone CEA, and group B consisted of twelve patients who had undergone CAS.
Primary endpoints were mortality, neurological morbidity (by NIHSS) and postoperative hemorrhagic cerebral conversion, at 30 days.
Ten patients (62.5%) of group A experienced an improvement in their initial neurological deficit while in 4 cases (26%) the deficit remained stable.
Two cases of neurologic mortality are presented.
At 1 month, 9 patients (75%) of group B experienced an improvement in their initial neurological deficit while 3 patients (25%) had a neurological impairment.
Urgent or deferred surgical or endovascular treatment have a satisfactory outcome considering the profile in very high-risk patient population.
Otherwise in selected patients CEA seems to be preferred to CAS.
American Psychological Association (APA)
Battocchio, C.& Fantozzi, Cristiano& Rizzo, L.& Persiani, F.& Raffa, S.& Taurino, Maurizio. 2012. Urgent Carotid Surgery : Is It Still out of Debate?. International Journal of Vascular Medicine،Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-479518
Modern Language Association (MLA)
Battocchio, C.…[et al.]. Urgent Carotid Surgery : Is It Still out of Debate?. International Journal of Vascular Medicine No. 2012 (2012), pp.1-7.
https://search.emarefa.net/detail/BIM-479518
American Medical Association (AMA)
Battocchio, C.& Fantozzi, Cristiano& Rizzo, L.& Persiani, F.& Raffa, S.& Taurino, Maurizio. Urgent Carotid Surgery : Is It Still out of Debate?. International Journal of Vascular Medicine. 2012. Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-479518
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-479518