Postoperative Neurological Deficit after Carotid Endarterectomy: A Mid-Term Outcome Analysis

被引：4

作者：

Attigah, Nicolas ^{[1
]}

Kuelkens, Sonja ^{[2
]}

Ringleb, Peter ^{[2
]}

Martin, Jochen ^{[1
]}

Allenberg, Jens-Rainer ^{[1
]}

Boeckler, Dittmar ^{[1
]}

机构：

[1] Heidelberg Univ, Dept Vasc & Endovasc Surg, DE-69120 Heidelberg, Germany

[2] Heidelberg Univ, Dept Neurol, DE-69120 Heidelberg, Germany

来源：

CEREBROVASCULAR DISEASES | 2010年 / 30卷 / 03期

关键词：

Carotid endarterectomy; Postoperative stroke after carotid endarterectomy; Postoperative neurological deficit; INTRACEREBRAL HEMORRHAGE; PERIOPERATIVE STROKE; MORBIDITY;

D O I：

10.1159/000319073

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background: To evaluate the neurological outcome of postoperative neurological deficit (PND) in patients undergoing carotid endarterectomy (CEA). Methods: A total of 3.7% (n = 48) out of 1,290 consecutive patients developed PND and were assessed neurologically after a mid-term follow-up. Results: After a 4-year follow-up, these patients were neurologically reevaluated. Clinical assessment revealed that 48% (n = 13) of the patients had a Rankin scale score of 0 or 1, 56% (n = 14) had a National Institutes of Health Stroke Scale score of 0 or 1, and 68.5% (n = 17) reached the maximum score on the Barthel index. Conclusions: The neurofunctional prognosis of PND is good. Four years after CEA, almost half of the patients had normal or near-normal neuroclinical findings. Copyright (C) 2010 S. Karger AG, Basel

引用

页码：297 / 301

页数：5

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