Outcomes of urgent carotid endarterectomy for stable and unstable acute neurologic deficits

Conclusions: Our results with U-CEA confirm that this population has a higher risk profile compared with elective surgery. The type of acute presentation is correlated with perioperative risk. U-CEA was safe when performed on patients presenting with transient ischemic attack. An acceptable complication rate was achieved for patients with minor to moderate strokes. The poorest outcomes occurred in patients presenting with stroke in evolution: U-CEA in these patients should be offered with extreme caution, although we are aware that a conservative treatment may not grant a better prognosis.

Source: Journal of Vascular Surgery - November 18, 2013 Category: Surgery Authors: Iacopo Barbetta, Michele Carmo, Giulio Mercandalli, Patrizia Lattuada, Daniela Mazzaccaro, Alberto M. Settembrini, Raffaello Dallatana, Piergiorgio G. Settembrini Tags: Clinical research studies Source Type: research