To determine the benefit of carotid endarterectomy (CEA) for stroke prevention b y reviewing the early and late outcomes of Hong Kong Chinese patients undergoing CEA who have a high reported incidence of intracranial ...To determine the benefit of carotid endarterectomy (CEA) for stroke prevention b y reviewing the early and late outcomes of Hong Kong Chinese patients undergoing CEA who have a high reported incidence of intracranial atherosclerotic disease (IAD) Methods Fifty nine Chinese patients underwent 62 CEA There were 48 males and 11 femal es, with a mean age of 70±7 years (range: 52-86 years) Twenty one CEA (34%) were performed for asymptomatic disease Duplex scan was the primary tool of ev aluation prior to surgery Preoperative angiography was done in 36 instances ( 58%) All CEA were performed under general anaesthesia with routine intraoperat ive shunting The arteriotomy was closed primarily in all patients except three Patients were followed up regularly with six monthly Duplex scan surveillanc e Results There were 2 perioperative neurological events consisting of one transient ische mic attack and one minor stroke There was no operative mortality or major morb idity such as bleeding or cranial nerve injury Mean hospital stay was 6 5±4 days (range: 3-26 days) The patients were followed up for a mean interval of 2 4±17 months (range: 1-57 months) Seven patients died during follow up and s ubsequent neurological events occurred in 5 patients, including 2 fatal strokes The 3 year survival, freedom from stroke and stroke free survival were 86%, 87% and 83%, respectively One recurrent stenosis of 80% was detected on follow up Duplex scan Conclusions Despite a high incidence of IAD, CEA in Hong Kong Chinese patients is associated with acceptable perioperative morbidity and mortality with satisfactory long t erm efficacy in stroke展开更多
文摘To determine the benefit of carotid endarterectomy (CEA) for stroke prevention b y reviewing the early and late outcomes of Hong Kong Chinese patients undergoing CEA who have a high reported incidence of intracranial atherosclerotic disease (IAD) Methods Fifty nine Chinese patients underwent 62 CEA There were 48 males and 11 femal es, with a mean age of 70±7 years (range: 52-86 years) Twenty one CEA (34%) were performed for asymptomatic disease Duplex scan was the primary tool of ev aluation prior to surgery Preoperative angiography was done in 36 instances ( 58%) All CEA were performed under general anaesthesia with routine intraoperat ive shunting The arteriotomy was closed primarily in all patients except three Patients were followed up regularly with six monthly Duplex scan surveillanc e Results There were 2 perioperative neurological events consisting of one transient ische mic attack and one minor stroke There was no operative mortality or major morb idity such as bleeding or cranial nerve injury Mean hospital stay was 6 5±4 days (range: 3-26 days) The patients were followed up for a mean interval of 2 4±17 months (range: 1-57 months) Seven patients died during follow up and s ubsequent neurological events occurred in 5 patients, including 2 fatal strokes The 3 year survival, freedom from stroke and stroke free survival were 86%, 87% and 83%, respectively One recurrent stenosis of 80% was detected on follow up Duplex scan Conclusions Despite a high incidence of IAD, CEA in Hong Kong Chinese patients is associated with acceptable perioperative morbidity and mortality with satisfactory long t erm efficacy in stroke
