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Eur J Vasc Endovasc Surg. 2011 Jun;41(6):735-40. doi: 10.1016/j.ejvs.2011.02.028. Epub 2011 Mar 29.

Outcome following carotid endarterectomy: lessons learned from a large international vascular registry.

Author information

1
Department of Vascular Surgery, Pecs University Medical Centre, 7624 Pecs, Rakoczi u. 2., Hungary. g.menyhei@yahoo.com

Abstract

OBJECTIVES:

The aim of the study was to assess if technical and patient-related factors are related to outcome after carotid surgery.

DESIGN:

Vascunet is a collaboration of national and regional registries with 10 contributing countries.

PATIENTS AND METHODS:

Data from 48,035 carotid endarterectomies (CEAs) performed in 383 centres, during 2003-2007, were merged into a common database.

RESULTS:

CEA was performed without patch (34%), with patch (40%) or with eversion (26%) in 74% for symptomatic and in 26% for asymptomatic disease. Overall (in-hospital and 30-day) mortality was 0.45%. Type of CEA or anaesthesia did not affect mortality, nor did contralateral occlusion. Mortality was higher in patients above the age of 75 years, for both genders (p < 0.05). The overall (in-hospital) stroke rate was 1.9%, the method of anaesthesia did not affect stroke rate. It was higher in patients with contralateral occlusion (4.6% vs. 2.5%, p = 0.002). Standard CEA without patch had a higher stroke rate than when a patch was used (2.3 vs. 1.7%, p = 0.015). Female patients >75 years had a higher stroke rate than younger women (2.0% vs. 1.6%, p = 0.078); this difference was not observed in men.

CONCLUSIONS:

Although there are limitations with registry data, the large number of cases involved provides useful information on outcomes, supplementing data from the randomised clinical trials (RCTs).

PMID:
21450496
DOI:
10.1016/j.ejvs.2011.02.028
[Indexed for MEDLINE]
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