Preoperative risk factors for carotid endarterectomy: defining the patient at high risk Amy B Reed, MD, Peter Gaccione, MA, Michael Belkin, MD, Magruder.

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Presentation transcript:

Preoperative risk factors for carotid endarterectomy: defining the patient at high risk Amy B Reed, MD, Peter Gaccione, MA, Michael Belkin, MD, Magruder C Donaldson, MD, John A Mannick, MD, Anthony D Whittemore, MD, Michael S Conte, MD Journal of Vascular Surgery Volume 37, Issue 6, Pages 1191-1199 (June 2003) DOI: 10.1016/S0741-5214(03)00336-7

Fig 1 Adverse perioperative events after isolated carotid artery endarterectomy (CEA), grouped by risk factor cohorts. A, Thirty-day stroke, death, and combined stroke-death rates in the total population. Numbers in parentheses represent number of CEA performed. P < .003 for stroke rate for contralateral occlusion vs no risk factors (0 RF); P not significant for all other stroke rate comparisons; P < .050 for death rate for two risk factors (2 RF) vs no risk factors, one risk factor (1 RF), and combined stroke-death rate for contralateral occlusion vs no risk factor or one risk factor. Journal of Vascular Surgery 2003 37, 1191-1199DOI: (10.1016/S0741-5214(03)00336-7)

Fig 1 B, Thirty-day stroke, death, and combined stroke-death rates in patients with asymptomatic disease. Numbers in parentheses represent number of CEA performed. P not significant for all stroke rate comparisons; P < .05 for death rate for two risk factors and contralateral occlusion vs no risk factors. Journal of Vascular Surgery 2003 37, 1191-1199DOI: (10.1016/S0741-5214(03)00336-7)

Fig 1 C, Thirty-day stroke, death, and combined stroke-death rates in patients with symptomatic disease. Numbers in parentheses represent number of CEA performed. P not significant for all comparisons. Journal of Vascular Surgery 2003 37, 1191-1199DOI: (10.1016/S0741-5214(03)00336-7)

Fig 2 Long-term survival after isolated carotid endarterectomy, according to risk factor cohorts. RF, Risk factor. *All standard error for cumulative survival less than 5.9% except where noted. **Standard error 8.4%, 9.6%, and 10.7%, respectively. Journal of Vascular Surgery 2003 37, 1191-1199DOI: (10.1016/S0741-5214(03)00336-7)