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June 28, 2019Scandinavian Cardiovascular JournalOpen Access

Poor long-term outcomes after carotid endarterectomy: a retrospective analysis of two portuguese centers

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Population

248 patients undergoing carotid endarterectomy

Design

Two-centre retrospective cohort study

Follow-up

52 months median

Authors

JAJoana Alves-FerreiraUniversidade do PortoJRJoão Rocha‐NevesUniversidade do PortoMDMarina Dias‐NetoUniversidade do Porto

Discussion

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Implication

Residual CV risk persists after CEA; leaves open optimal secondary prevention strategies in prospective trials.

Structured PICO

P
Population
248 patients (mean age 69 years; 79% male) who underwent carotid endarterectomy between 2010 and 2018 in two Portuguese hospitals.
I
Intervention
Carotid endarterectomy (CEA)
O
Outcome
Acute myocardial infarction (AMI), stroke, all-cause death and major adverse cardiovascular events (MACE)hard clinical

Patients undergoing carotid endarterectomy face high long-term risks of AMI, MACE, and death, highlighting the need for aggressive medical management of systemic atherosclerosis.

Cite This Study

Alves-Ferreira et al. (2019) studied this question.

synapsesocial.com/papers/6a75fc5cfdf0921e0f786918https://doi.org/10.1080/14017431.2019.1638518
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  1. 1Rivaroxaban with or without aspirin in patients with stable peripheral or carotid artery disease: an international, randomised, double-blind, placebo-controlled trial2017 · 892 citations
  2. 2Clinical Prediction Rule to Estimate the Absolute 3-Year Risk of Major Cardiovascular Events After Carotid Endarterectomy2012 · 49 citations