Carotid endarterectomy results from a state vascular society
This study analyzes the results of carotid endarterectomy (CEA) performed statewide by members of the Kentucky Vascular Surgery Society (KVSS). Between September 1, 1991 and September 1, 1993, 22 vascular surgeons in the KVSS submitted 1490 CEAs to the vascular registry. Follow-up data were obtained...
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| Veröffentlicht in: | The American journal of surgery 1997-04, Vol.173 (4), p.342-344 |
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| creator | Neil Yates, G. Bergamini, Thomas M. George, Salem M. Hamman, Jack L. Hyde, Gordon L. David Richardson, J. |
| description | This study analyzes the results of carotid endarterectomy (CEA) performed statewide by members of the Kentucky Vascular Surgery Society (KVSS).
Between September 1, 1991 and September 1, 1993, 22 vascular surgeons in the KVSS submitted 1490 CEAs to the vascular registry. Follow-up data were obtained on 986 (66%) CEAs performed on 889 patients (average age, 68 years).
Carotid endarterectomy was performed on 505 men and 384 women. Indications for operation were asymptomatic carotid stenosis (43%), transient ischemic attack (TIA; 27%), amaurosis fugax (13%), stroke (11%) and nonhemispheric symptoms (6%). A total of 384 cases had primary closure, and 602 had patch reconstruction following CEA. The combined stroke-mortality rate was 2.3% (10 strokes and 13 deaths). The combined stroke-mortality rate of CEA was 2.1% for patients treated by academic surgeons and 2.3% for those treated by community surgeons. Deaths were due to stroke (4), sepsis (5), cardiac complications (2), intracerebral hemorrhage (1) and cancer (1). Five patients had postoperative TIAs. After CEA, duplex scan surveillance was performed in 629 (64%) patients, with 23 (3.6%) residual/recurrent stenosis (10, 50%–75%; 13, 75%–99%) detected; 5 undergoing reoperation.
These data support the efficacy and safety of CEA performed by a large number of vascular surgeons in both community and academic practice. |
| doi_str_mv | 10.1016/S0002-9610(96)00396-0 |
| format | Article |
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Between September 1, 1991 and September 1, 1993, 22 vascular surgeons in the KVSS submitted 1490 CEAs to the vascular registry. Follow-up data were obtained on 986 (66%) CEAs performed on 889 patients (average age, 68 years).
Carotid endarterectomy was performed on 505 men and 384 women. Indications for operation were asymptomatic carotid stenosis (43%), transient ischemic attack (TIA; 27%), amaurosis fugax (13%), stroke (11%) and nonhemispheric symptoms (6%). A total of 384 cases had primary closure, and 602 had patch reconstruction following CEA. The combined stroke-mortality rate was 2.3% (10 strokes and 13 deaths). The combined stroke-mortality rate of CEA was 2.1% for patients treated by academic surgeons and 2.3% for those treated by community surgeons. Deaths were due to stroke (4), sepsis (5), cardiac complications (2), intracerebral hemorrhage (1) and cancer (1). Five patients had postoperative TIAs. After CEA, duplex scan surveillance was performed in 629 (64%) patients, with 23 (3.6%) residual/recurrent stenosis (10, 50%–75%; 13, 75%–99%) detected; 5 undergoing reoperation.
These data support the efficacy and safety of CEA performed by a large number of vascular surgeons in both community and academic practice.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/S0002-9610(96)00396-0</identifier><identifier>CODEN: AJSUAB</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Biological and medical sciences ; Complications ; Fatalities ; Hemorrhage ; Ischemia ; Medical sciences ; Mortality ; Sepsis ; Stenosis ; Stroke ; Surgeons ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Transient ischemic attack ; Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels</subject><ispartof>The American journal of surgery, 1997-04, Vol.173 (4), p.342-344</ispartof><rights>1997 Excerpta Medica, Inc. All rights reserved</rights><rights>1997 INIST-CNRS</rights><rights>1997. Excerpta Medica, Inc. All rights reserved</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c364t-17e4a22409d0c8671f23cfc1e4d235366a6a77ef50abda5ddf204594592cf1893</citedby><cites>FETCH-LOGICAL-c364t-17e4a22409d0c8671f23cfc1e4d235366a6a77ef50abda5ddf204594592cf1893</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0002961096003960$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2659935$$DView record in Pascal Francis$$Hfree_for_read</backlink></links><search><creatorcontrib>Neil Yates, G.</creatorcontrib><creatorcontrib>Bergamini, Thomas M.</creatorcontrib><creatorcontrib>George, Salem M.</creatorcontrib><creatorcontrib>Hamman, Jack L.</creatorcontrib><creatorcontrib>Hyde, Gordon L.</creatorcontrib><creatorcontrib>David Richardson, J.</creatorcontrib><creatorcontrib>The Kentucky Vascular Surgery Society Study Group</creatorcontrib><title>Carotid endarterectomy results from a state vascular society</title><title>The American journal of surgery</title><description>This study analyzes the results of carotid endarterectomy (CEA) performed statewide by members of the Kentucky Vascular Surgery Society (KVSS).
Between September 1, 1991 and September 1, 1993, 22 vascular surgeons in the KVSS submitted 1490 CEAs to the vascular registry. Follow-up data were obtained on 986 (66%) CEAs performed on 889 patients (average age, 68 years).
Carotid endarterectomy was performed on 505 men and 384 women. Indications for operation were asymptomatic carotid stenosis (43%), transient ischemic attack (TIA; 27%), amaurosis fugax (13%), stroke (11%) and nonhemispheric symptoms (6%). A total of 384 cases had primary closure, and 602 had patch reconstruction following CEA. The combined stroke-mortality rate was 2.3% (10 strokes and 13 deaths). The combined stroke-mortality rate of CEA was 2.1% for patients treated by academic surgeons and 2.3% for those treated by community surgeons. Deaths were due to stroke (4), sepsis (5), cardiac complications (2), intracerebral hemorrhage (1) and cancer (1). Five patients had postoperative TIAs. After CEA, duplex scan surveillance was performed in 629 (64%) patients, with 23 (3.6%) residual/recurrent stenosis (10, 50%–75%; 13, 75%–99%) detected; 5 undergoing reoperation.
These data support the efficacy and safety of CEA performed by a large number of vascular surgeons in both community and academic practice.</description><subject>Biological and medical sciences</subject><subject>Complications</subject><subject>Fatalities</subject><subject>Hemorrhage</subject><subject>Ischemia</subject><subject>Medical sciences</subject><subject>Mortality</subject><subject>Sepsis</subject><subject>Stenosis</subject><subject>Stroke</subject><subject>Surgeons</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Transient ischemic attack</subject><subject>Vascular surgery: aorta, extremities, vena cava. 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Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Transient ischemic attack</topic><topic>Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Neil Yates, G.</creatorcontrib><creatorcontrib>Bergamini, Thomas M.</creatorcontrib><creatorcontrib>George, Salem M.</creatorcontrib><creatorcontrib>Hamman, Jack L.</creatorcontrib><creatorcontrib>Hyde, Gordon L.</creatorcontrib><creatorcontrib>David Richardson, J.</creatorcontrib><creatorcontrib>The Kentucky Vascular Surgery Society Study Group</creatorcontrib><collection>Pascal-Francis</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Neil Yates, G.</au><au>Bergamini, Thomas M.</au><au>George, Salem M.</au><au>Hamman, Jack L.</au><au>Hyde, Gordon L.</au><au>David Richardson, J.</au><aucorp>The Kentucky Vascular Surgery Society Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Carotid endarterectomy results from a state vascular society</atitle><jtitle>The American journal of surgery</jtitle><date>1997-04-01</date><risdate>1997</risdate><volume>173</volume><issue>4</issue><spage>342</spage><epage>344</epage><pages>342-344</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><coden>AJSUAB</coden><abstract>This study analyzes the results of carotid endarterectomy (CEA) performed statewide by members of the Kentucky Vascular Surgery Society (KVSS).
Between September 1, 1991 and September 1, 1993, 22 vascular surgeons in the KVSS submitted 1490 CEAs to the vascular registry. Follow-up data were obtained on 986 (66%) CEAs performed on 889 patients (average age, 68 years).
Carotid endarterectomy was performed on 505 men and 384 women. Indications for operation were asymptomatic carotid stenosis (43%), transient ischemic attack (TIA; 27%), amaurosis fugax (13%), stroke (11%) and nonhemispheric symptoms (6%). A total of 384 cases had primary closure, and 602 had patch reconstruction following CEA. The combined stroke-mortality rate was 2.3% (10 strokes and 13 deaths). The combined stroke-mortality rate of CEA was 2.1% for patients treated by academic surgeons and 2.3% for those treated by community surgeons. Deaths were due to stroke (4), sepsis (5), cardiac complications (2), intracerebral hemorrhage (1) and cancer (1). Five patients had postoperative TIAs. After CEA, duplex scan surveillance was performed in 629 (64%) patients, with 23 (3.6%) residual/recurrent stenosis (10, 50%–75%; 13, 75%–99%) detected; 5 undergoing reoperation.
These data support the efficacy and safety of CEA performed by a large number of vascular surgeons in both community and academic practice.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><doi>10.1016/S0002-9610(96)00396-0</doi><tpages>3</tpages></addata></record> |
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| subjects | Biological and medical sciences Complications Fatalities Hemorrhage Ischemia Medical sciences Mortality Sepsis Stenosis Stroke Surgeons Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Transient ischemic attack Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels |
| title | Carotid endarterectomy results from a state vascular society |
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