Why the study?
What are the mortality and neurological complication rates of carotid endarterectomy performed in a community hospital?
What are the mortality and neurological complication rates of carotid endarterectomy performed in a community hospital?
Carotid endarterectomy performed in a community hospital with systemic heparinization and an indwelling shunt is associated with low perioperative mortality and morbidity.
Answers are grounded in this paper and cite their sources.
Supports low-risk CEA in community hospitals; hypothesis-generating and requires prospective validation before broader adoption.
Two hundred seventy-six carotid endarterectomies performed on 232 patients in a community hospital were reviewed. All the surgery was performed in a routine manner utilizing systemic heparinization and an indwelling shunt. There were three deaths in this series, giving a mortality of 1.08%. A transient neurological deficit occurred in seven patients. All of these cleared within a 7-day period; this represents 2.5%. Only one patient had a permanent deficit. Long-term followup from 6 months to 9 years showed that the majority of deaths occurred from myocardial disease and malignancies. Only eight patients later died from stroke.
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HAYNES et al. (1979) studied this question.
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