High-grade carotid stenosis detected before general surgery: Is endarterectomy indicated?

被引：19

作者：

Evans, BA ^{[1
]}

Wijdicks, EFM ^{[1
]}

机构：

[1] Mayo Clin W8 A, Dept Neurol, Div Cerebrovasc Dis, Rochester, MN 55905 USA

来源：

NEUROLOGY | 2001年 / 57卷 / 07期

关键词：

D O I：

10.1212/WNL.57.7.1328

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The risk of stroke in unselected patients and patients with a carotid bruit undergoing general anesthesia and surgery is very low. The incremental risk related to known carotid stenosis is uncertain. The authors studied 284 patients with ultrasound studies before general surgery, 224 of whom demonstrated carotid stenosis. Carotid stenosis was related to a perioperative risk of stroke of approximately 3.6%. Greater degrees of stenosis did not confer significantly higher risk. Although higher than in the unselected population, this risk does not appear sufficient to mandate prophylactic endarterectomy.

引用

页码：1328 / 1330

页数：3

共 9 条

[1] Carotid occlusive disease and stroke risk in coronary artery bypass graft surgery [J].

Dashe, JF ;

Pessin, MS ;

Murphy, RE ;

Payne, DD .

NEUROLOGY, 1997, 49 (03) :678-686

[2]

LANDERCASPER J, 1990, ARCH SURG-CHICAGO, V125, P986

[3] POSTOPERATIVE CEREBROVASCULAR ACCIDENTS IN GENERAL-SURGERY [J].

LARSEN, SF ;

ZARIC, D ;

BOYSEN, G .

ACTA ANAESTHESIOLOGICA SCANDINAVICA, 1988, 32 (08) :698-701

[4] Ischemic stroke after surgical procedures - Clinical features, neuroimaging, and risk factors [J].

Limburg, M ;

Wijdicks, EFM ;

Li, HZ .

NEUROLOGY, 1998, 50 (04) :895-901

[5]

MEISSNER I, 1987, JAMA-J AM MED ASSOC, V258, P2704

[6] Surgical results: A justification of the surgeon selection process for the ACAS trial [J].

Moore, WS ;

Young, B ;

Baker, WH ;

Robertson, JT ;

Toole, JF ;

Vescera, CL ;

Howard, VJ .

JOURNAL OF VASCULAR SURGERY, 1996, 23 (02) :323-328

[7]

PARIKH S, 1993, NY STATE J MED, P162

[8] CAROTID BRUIT AND THE RISK OF STROKE IN ELECTIVE SURGERY [J].

ROPPER, AH ;

WECHSLER, LR ;

WILSON, LS .

NEW ENGLAND JOURNAL OF MEDICINE, 1982, 307 (22) :1388-1390

[9] ENDARTERECTOMY FOR ASYMPTOMATIC CAROTID-ARTERY STENOSIS [J].

WALKER, MD ;

MARLER, JR ;

GOLDSTEIN, M ;

GRADY, PA ;

TOOLE, JF ;

BAKER, WH ;

CASTALDO, JE ;

CHAMBLESS, LE ;

MOORE, WS ;

ROBERTSON, JT ;

YOUNG, B ;

HOWARD, VJ ;

PURVIS, S ;

VERNON, DD ;

NEEDHAM, K ;

BECK, P ;

DOZIER, M ;

LEFKOWITZ, DS ;

HOWARD, G ;

CROUSE, JR ;

HERRINGTON, DM ;

FURBERG, CD ;

ESSICK, K ;

HICKS, RM ;

NELSON, JJ ;

BALL, W ;

BLAND, E ;

CONDON, S ;

ELLIOTT, T ;

GRIZZLE, JE ;

HAYES, D ;

HENLEY, S ;

JOHNSON, J ;

LOCKLEAR, J ;

MISCH, MS ;

PATON, CC ;

SCHWARTZ, S ;

WALKER, C ;

WILLIAMS, OD ;

EASTON, JD ;

GOLDSTONE, J ;

HALLENBECK, JM ;

HOFF, JT ;

KARP, HR ;

KRONMAL, RA ;

BROTT, TG ;

TOMSICK, TA ;

BRODERICK, J ;

SAUERBECK, L ;

BLUM, C .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1995, 273 (18) :1421-1428

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