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Intracerebral hemorrhage after carotid endarterectomy: Incidence, contribution to neurologic morbidity, and predictive factors  Kenneth Ouriel, MD, Cynthia.

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Presentation on theme: "Intracerebral hemorrhage after carotid endarterectomy: Incidence, contribution to neurologic morbidity, and predictive factors  Kenneth Ouriel, MD, Cynthia."— Presentation transcript:

1 Intracerebral hemorrhage after carotid endarterectomy: Incidence, contribution to neurologic morbidity, and predictive factors  Kenneth Ouriel, MD, Cynthia K. Shortell, MD, Karl A. Illig, MD, Roy K. Greenberg, MD, Richard M. Green, MD  Journal of Vascular Surgery  Volume 29, Issue 1, Pages (January 1999) DOI: /S (99) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

2 Fig. 1 Magnetic resonance image of a “petechial” hemorrhage, with patchy bleeding following the pattern of the gyri. Journal of Vascular Surgery  , 82-89DOI: ( /S (99) ) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

3 Fig. 2 An example of a “moderate” intracranial bleed, with a localized collection of blood in the absence of significant mass effect. Journal of Vascular Surgery  , 82-89DOI: ( /S (99) ) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

4 Fig. 3 A massive intracranial bleed that occurred immediately after carotid endarterectomy. The patient awoke from anesthesia, but became comatose 1 hour after surgery and died on the first postoperative day. Journal of Vascular Surgery  , 82-89DOI: ( /S (99) ) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

5 Fig. 4 Timing of the hemorrhagic events. Immediate events were manifest at the conclusion of the surgical procedure. Early events occurred after patients awoke normally from anesthesia, but before the seventh postoperative day. Late events occurred more than 1 week after the procedure. Journal of Vascular Surgery  , 82-89DOI: ( /S (99) ) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions


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