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SURGICAL TREATMENT OF EXTRACRANIAL CEREBROVASCULAR DISEASE: REGIONAL EXPERIENCE
Author(s) -
Mcdowell D. I.,
James V. A.,
Glasson M.
Publication year - 1989
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1989.tb01626.x
Subject(s) - medicine , carotid endarterectomy , stroke (engine) , surgery , port (circuit theory) , disease , endarterectomy , retrospective cohort study , general surgery , carotid arteries , electrical engineering , engineering , mechanical engineering
This paper reports a retrospective review of 40 patients who underwent 48 surgical procedures to treat extracranial cerebrovascular disease. The surgery was performed at the port kembla district hospital (a 145‐bed regional institution) between 4 october 1984 and 9 september 1987. Carotid endarterectomy was the most common operation ( n = 44, 91.6%). The survey reports the patterns of presenting symptoms, risk factors, investigations, surgical detail and early and late complications, and compares these with other published series. Operative and peri‐operative morbidity and mortality were within contemporary international standards: mortality 0% (reference range: 0–1%); stroke 2.1% (1–3%); transient ischaemic attack 6.3% (0.8%). These results support the contention of other authors that international standards for extracranial cerebrovascular surgery are achievable in regional institutions.