Why the study?
What is the incidence of fatal myocardial infarction and long-term mortality following carotid endarterectomy, and does myocardial revascularization improve survival in patients with suspected CAD?
Population
335 consecutive patients who underwent carotid endarterectomy between 1969 and 1973
Design
Cohort
Follow-up
up to 11 years
Authors
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Supports CAD screening before carotid endarterectomy; leaves open whether revascularization improves survival in randomized trials.
What is the incidence of fatal myocardial infarction and long-term mortality following carotid endarterectomy, and does myocardial revascularization improve survival in patients with suspected CAD?
Fatal myocardial infarction is a major cause of early and late mortality following carotid endarterectomy, and concurrent or staged myocardial revascularization may improve survival in patients with suspected CAD.
Hertzer et al. (1981) studied this question.
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