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

作者：Attigah Nicolas; Kuelkens Sonja; Ringleb Peter; Martin Jochen; Allenberg Jens Rainer; Boeckler Dittmar

来源：Cerebrovascular Diseases, 2010, 30(3): 297-301.

DOI：10.1159/000319073

• Carotid endarterectomy
• Postoperative stroke after carotid endarterectomy
• Postoperative neurological deficit

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.

• 出版日期2010