Open AccessCarotid Endarterectomy: Review of 276 Cases in a Community Hospital
Author(s) -
C D Haynes,
Richard L. Dempsey
Publication year - 1979
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/00000658-197906000-00012
Subject(s) - medicine , carotid endarterectomy , clearance , surgery , stroke (engine) , shunt (medical) , community hospital , endarterectomy , carotid arteries , mechanical engineering , psychiatry , engineering , urology
Two hundred seventy-six carotid endarterectomies performed on 232 patients in a community hospital were reviewed. All the surgery was performed in a routine manner utilizing systemic heparinization and an indwelling shunt. There were three deaths in this series, giving a mortality of 1.08%. A transient neurological deficit occurred in seven patients. All of these cleared within a 7-day period; this represents 2.5%. Only one patient had a permanent deficit. Long-term followup from 6 months to 9 years showed that the majority of deaths occurred from myocardial disease and malignancies. Only eight patients later died from stroke.