Multicenter review of preoperative risk factors for carotid endarterectomy in patients with ipsilateral symptoms. | Zendy

Larry B. Goldstein | Zendy; DC McCrory | Zendy; Pamela B. Landsman | Zendy; Greg Samsa | Zendy; Marek Ancukiewicz | Zendy; E.Z. Oddone | Zendy; David B. Matchar | Zendy

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Multicenter review of preoperative risk factors for carotid endarterectomy in patients with ipsilateral symptoms.

Author(s) -

Larry B. Goldstein,

DC McCrory,

Pamela B. Landsman,

Greg Samsa,

Marek Ancukiewicz,

E.Z. Oddone,

David B. Matchar

Publication year - 1994

Publication title -

stroke

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.397

H-Index - 319

eISSN - 1524-4628

pISSN - 0039-2499

DOI - 10.1161/01.str.25.6.1116

Subject(s) - medicine , carotid endarterectomy , stroke (engine) , stenosis , asymptomatic , myocardial infarction , univariate analysis , endarterectomy , surgery , carotid stenting , cardiology , multivariate analysis , mechanical engineering , engineering

Randomized clinical trials have shown that carotid endarterectomy decreases the risk of subsequent stroke in patients with high-grade carotid stenosis and ipsilateral transient ischemic attack or minor stroke. The benefit of surgery is highly dependent on surgical risk. We previously found that patients with ipsilateral hemispheric symptoms were at greater risk of carotid endarterectomy complications compared with those who were asymptomatic or had nonipsilateral symptoms. The goals of the present study were (1) to identify preoperative clinical factors that may increase the risk of complications after carotid endarterectomy in patients with ipsilateral hemispheric symptoms and (2) to develop a risk index based on this patient-level data.

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