What question did this study set out to answer?

To evaluate the risks associated with carotid endarterectomy in patients with contralateral carotid occlusion.

November 1, 1979Archives of Surgery

Carotid Endarterectomy in the Presence of Contralateral Carotid Occlusion

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Why the study?

What are the clinical outcomes of carotid endarterectomy in patients with contralateral carotid occlusion?

Population

37 patients undergoing carotid endarterectomy in the presence of occlusion of the contralateral carotid artery

Design

Case_series

Follow-up

5 years

Authors

MPMartin R. PhillipsMemorial

Discussion

Member takes

Implication

Supports CEA feasibility in contralateral occlusion; hypothesis-generating and should not change practice without RCTs.

Key Points

To evaluate the risks associated with carotid endarterectomy in patients with contralateral carotid occlusion.
Analyzed outcomes of 37 patients over a five-year period.
Used routine intraluminal shunting without EEG monitoring in nine patients.
Monitored 28 patients with continuous EEG, where 12 required shunting based on EEG findings.
One postoperative death occurred, with no new fixed neurological deficits reported.
Life table analysis indicated that 80% of patients remained neurologically stable five years post-surgery.
EEG monitoring effectively identified patients needing intraluminal shunting and assessed blood pressure impacts on cerebral blood flow.

Structured PICO

What are the clinical outcomes of carotid endarterectomy in patients with contralateral carotid occlusion?

Population

37 patients undergoing carotid endarterectomy in the presence of occlusion of the contralateral carotid artery

Intervention

Carotid endarterectomy with either routine intraluminal shunting without EEG monitoring (n=9) or continuous EEG monitoring during surgery (n=28)

Outcome

Operative-related stroke or death, and neurological stabilityhard clinical

Carotid endarterectomy can be performed with acceptable risk in patients with contralateral carotid occlusion, and intraoperative EEG monitoring is valuable for identifying patients who require intraluminal shunting.

Cite This Study

Martin R. Phillips (1979) studied this question.

synapsesocial.com/papers/6a710e6dce524a4339c4aebd https://doi.org/10.1001/archsurg.1979.01370350034003

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Carotid Endarterectomy in the Presence of Contralateral Carotid Occlusion

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Carotid Endarterectomy in the Presence of Contralateral Carotid Occlusion

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Also Consider