Carotid artery occlusion: Natural history

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Presentation transcript:

Carotid artery occlusion: Natural history Stephen C. Nicholls, M.D., Ted R. Kohler, M.D., Robert O. Bergelin, B.S., Jean F. Primozich, B.S., Ramona L. Lawrence, B.S., D.E. Strandness, M.D. Journal of Vascular Surgery Volume 4, Issue 5, Pages 479-485 (November 1986) DOI: 10.1016/0741-5214(86)90384-8 Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 Life-table analysis: cumulative survival rate by sex at 5 years. Men (n = 170), 57%; women (n = 42), 86%. No statistical difference demonstrated (p = 0.66). Journal of Vascular Surgery 1986 4, 479-485DOI: (10.1016/0741-5214(86)90384-8) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 Life-table analysis: cumulative stroke-free and transient ischemic attack (TIA)—free rates. Five-year cumulative rates were as follows: all strokes, 75%; ipsilateral strokes, 84%; all TIAs, 81%; ipsilaterial TIAs, 91%. Closed circles, stroke; open triangles, TIA. Journal of Vascular Surgery 1986 4, 479-485DOI: (10.1016/0741-5214(86)90384-8) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 Life-table analysis: cumulative survival by severity of contralateral disease (percentage of vessel diameter reduction). A, normal (n = 2); B, 1% to 15% (n = 50); C, 16% to 49% (n = 53); D, 50% to 99% (n = 98); and E, occluded (n = 8). Statistical significance demonstrated (p = 0.04). Journal of Vascular Surgery 1986 4, 479-485DOI: (10.1016/0741-5214(86)90384-8) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 4 Life-table analysis: cumulative stroke-free rate for hemisphere ipsilateral to the patent carotid artery grouped by severity of disease in that artery. For explanation of categories, see Fig. 3. No statistical significance demonstrated (p = 0.73). Journal of Vascular Surgery 1986 4, 479-485DOI: (10.1016/0741-5214(86)90384-8) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 5 Life-table analysis: cumulative survival for patients with and without endarterectomy (TEA). Operated group (TEA +): n = 155, n = 108, n = 84, n = 46, and n = 24 at 1, 2, 3, 4, and 5 years, respectively. Nonoperated group (TEA −): n = 55, n = 46, n = 33, n = 20, and n = 15 at 1, 2, 3, 4, and 5 years, respectively. Journal of Vascular Surgery 1986 4, 479-485DOI: (10.1016/0741-5214(86)90384-8) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions