Surgical treatment of cerebrovascular occlusive disease. A follow-up study
Summary This prospective open study of 124 patients [80% with completed stroke (CS), 16% with TIAS, 4% with PRIND] consecutively admitted between 1976 and 1981 investigates the rates of reinfarction after surgical treatment (extra-intracranial arterial bypass, EIAB and/or carotid thrombendarterectom...
Ausführliche Beschreibung
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| Autor*in: |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
1986 |
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| Umfang: |
8 |
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| Reproduktion: |
Springer Online Journal Archives 1860-2002 |
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| Übergeordnetes Werk: |
in: Acta neurochirurgica - 1950, 82(1986) vom: März/Apr., Seite 102-109 |
| Übergeordnetes Werk: |
volume:82 ; year:1986 ; month:03/04 ; pages:102-109 ; extent:8 |
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NLEJ208129758 |
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| 520 | |a Summary This prospective open study of 124 patients [80% with completed stroke (CS), 16% with TIAS, 4% with PRIND] consecutively admitted between 1976 and 1981 investigates the rates of reinfarction after surgical treatment (extra-intracranial arterial bypass, EIAB and/or carotid thrombendarterectomy, TEA). 34% of patients had unilateral carotid stenosis, 26% unilateral internal carotid artery occlusion, 17% had occlusion of one and stenosis of the contralateral internal carotid artery, 14% bilateral carotid stenosis. Combined surgical morbidity and mortality was 5% after 158 operations in 124 patients; 7 of the 8 complications occurred in patients with CS. Of the 120 survivors in the immediate postoperative period, after a mean follow-up period of 5.7 years ranging from 3–8 years, an infarct occurred in 5.8%,i.e., 1% per year; 3 of them occurred ipsilaterally, 2 contralaterally to the first infarct, two remained unknown. Among all 99 patients with CS, the reinfarction rate was 5% (1% per year); in CS patients with a minimal follow-up of 5 years, the annual reinfarction rate was 2%. Of fifty-three patients with completed stroke after EIAB with a mean follow-up of 4.6 years, 3.8% suffered reinfarction (0.8% per year). Among 26 patients with CS and unilateral carotid occlusion after a mean follow-up of 4.7 years, the reinfarction rate was 3.9% (0.8% per year). Among 46 patients with carotid occlusion with or without further stenotic or occlusive lesions, the reinfarction rate was 2.2%. Comparing these follow-up data with results of medical treatment, it is concluded that a combination of surgical treatment and the administration of acetylsalicylic acid can be considered to improve the prognosis of patients with occlusive and/or stenotic cerebrovascular disease. | ||
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(DE-627)NLEJ208129758 DE-627 ger DE-627 rakwb eng Surgical treatment of cerebrovascular occlusive disease. A follow-up study 1986 8 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Summary This prospective open study of 124 patients [80% with completed stroke (CS), 16% with TIAS, 4% with PRIND] consecutively admitted between 1976 and 1981 investigates the rates of reinfarction after surgical treatment (extra-intracranial arterial bypass, EIAB and/or carotid thrombendarterectomy, TEA). 34% of patients had unilateral carotid stenosis, 26% unilateral internal carotid artery occlusion, 17% had occlusion of one and stenosis of the contralateral internal carotid artery, 14% bilateral carotid stenosis. Combined surgical morbidity and mortality was 5% after 158 operations in 124 patients; 7 of the 8 complications occurred in patients with CS. Of the 120 survivors in the immediate postoperative period, after a mean follow-up period of 5.7 years ranging from 3–8 years, an infarct occurred in 5.8%,i.e., 1% per year; 3 of them occurred ipsilaterally, 2 contralaterally to the first infarct, two remained unknown. Among all 99 patients with CS, the reinfarction rate was 5% (1% per year); in CS patients with a minimal follow-up of 5 years, the annual reinfarction rate was 2%. Of fifty-three patients with completed stroke after EIAB with a mean follow-up of 4.6 years, 3.8% suffered reinfarction (0.8% per year). Among 26 patients with CS and unilateral carotid occlusion after a mean follow-up of 4.7 years, the reinfarction rate was 3.9% (0.8% per year). Among 46 patients with carotid occlusion with or without further stenotic or occlusive lesions, the reinfarction rate was 2.2%. Comparing these follow-up data with results of medical treatment, it is concluded that a combination of surgical treatment and the administration of acetylsalicylic acid can be considered to improve the prognosis of patients with occlusive and/or stenotic cerebrovascular disease. Springer Online Journal Archives 1860-2002 Auer, L. M. oth Oberbauer, R. W. oth Clarici, G. oth Pucher, R. oth in Acta neurochirurgica 1950 82(1986) vom: März/Apr., Seite 102-109 (DE-627)NLEJ188985085 (DE-600)1464215-3 0942-0940 nnns volume:82 year:1986 month:03/04 pages:102-109 extent:8 http://dx.doi.org/10.1007/BF01456368 GBV_USEFLAG_U ZDB-1-SOJ GBV_NL_ARTICLE AR 82 1986 3/4 102-109 8 |
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(DE-627)NLEJ208129758 DE-627 ger DE-627 rakwb eng Surgical treatment of cerebrovascular occlusive disease. A follow-up study 1986 8 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Summary This prospective open study of 124 patients [80% with completed stroke (CS), 16% with TIAS, 4% with PRIND] consecutively admitted between 1976 and 1981 investigates the rates of reinfarction after surgical treatment (extra-intracranial arterial bypass, EIAB and/or carotid thrombendarterectomy, TEA). 34% of patients had unilateral carotid stenosis, 26% unilateral internal carotid artery occlusion, 17% had occlusion of one and stenosis of the contralateral internal carotid artery, 14% bilateral carotid stenosis. Combined surgical morbidity and mortality was 5% after 158 operations in 124 patients; 7 of the 8 complications occurred in patients with CS. Of the 120 survivors in the immediate postoperative period, after a mean follow-up period of 5.7 years ranging from 3–8 years, an infarct occurred in 5.8%,i.e., 1% per year; 3 of them occurred ipsilaterally, 2 contralaterally to the first infarct, two remained unknown. Among all 99 patients with CS, the reinfarction rate was 5% (1% per year); in CS patients with a minimal follow-up of 5 years, the annual reinfarction rate was 2%. Of fifty-three patients with completed stroke after EIAB with a mean follow-up of 4.6 years, 3.8% suffered reinfarction (0.8% per year). Among 26 patients with CS and unilateral carotid occlusion after a mean follow-up of 4.7 years, the reinfarction rate was 3.9% (0.8% per year). Among 46 patients with carotid occlusion with or without further stenotic or occlusive lesions, the reinfarction rate was 2.2%. Comparing these follow-up data with results of medical treatment, it is concluded that a combination of surgical treatment and the administration of acetylsalicylic acid can be considered to improve the prognosis of patients with occlusive and/or stenotic cerebrovascular disease. Springer Online Journal Archives 1860-2002 Auer, L. M. oth Oberbauer, R. W. oth Clarici, G. oth Pucher, R. oth in Acta neurochirurgica 1950 82(1986) vom: März/Apr., Seite 102-109 (DE-627)NLEJ188985085 (DE-600)1464215-3 0942-0940 nnns volume:82 year:1986 month:03/04 pages:102-109 extent:8 http://dx.doi.org/10.1007/BF01456368 GBV_USEFLAG_U ZDB-1-SOJ GBV_NL_ARTICLE AR 82 1986 3/4 102-109 8 |
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(DE-627)NLEJ208129758 DE-627 ger DE-627 rakwb eng Surgical treatment of cerebrovascular occlusive disease. A follow-up study 1986 8 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Summary This prospective open study of 124 patients [80% with completed stroke (CS), 16% with TIAS, 4% with PRIND] consecutively admitted between 1976 and 1981 investigates the rates of reinfarction after surgical treatment (extra-intracranial arterial bypass, EIAB and/or carotid thrombendarterectomy, TEA). 34% of patients had unilateral carotid stenosis, 26% unilateral internal carotid artery occlusion, 17% had occlusion of one and stenosis of the contralateral internal carotid artery, 14% bilateral carotid stenosis. Combined surgical morbidity and mortality was 5% after 158 operations in 124 patients; 7 of the 8 complications occurred in patients with CS. Of the 120 survivors in the immediate postoperative period, after a mean follow-up period of 5.7 years ranging from 3–8 years, an infarct occurred in 5.8%,i.e., 1% per year; 3 of them occurred ipsilaterally, 2 contralaterally to the first infarct, two remained unknown. Among all 99 patients with CS, the reinfarction rate was 5% (1% per year); in CS patients with a minimal follow-up of 5 years, the annual reinfarction rate was 2%. Of fifty-three patients with completed stroke after EIAB with a mean follow-up of 4.6 years, 3.8% suffered reinfarction (0.8% per year). Among 26 patients with CS and unilateral carotid occlusion after a mean follow-up of 4.7 years, the reinfarction rate was 3.9% (0.8% per year). Among 46 patients with carotid occlusion with or without further stenotic or occlusive lesions, the reinfarction rate was 2.2%. Comparing these follow-up data with results of medical treatment, it is concluded that a combination of surgical treatment and the administration of acetylsalicylic acid can be considered to improve the prognosis of patients with occlusive and/or stenotic cerebrovascular disease. Springer Online Journal Archives 1860-2002 Auer, L. M. oth Oberbauer, R. W. oth Clarici, G. oth Pucher, R. oth in Acta neurochirurgica 1950 82(1986) vom: März/Apr., Seite 102-109 (DE-627)NLEJ188985085 (DE-600)1464215-3 0942-0940 nnns volume:82 year:1986 month:03/04 pages:102-109 extent:8 http://dx.doi.org/10.1007/BF01456368 GBV_USEFLAG_U ZDB-1-SOJ GBV_NL_ARTICLE AR 82 1986 3/4 102-109 8 |
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(DE-627)NLEJ208129758 DE-627 ger DE-627 rakwb eng Surgical treatment of cerebrovascular occlusive disease. A follow-up study 1986 8 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Summary This prospective open study of 124 patients [80% with completed stroke (CS), 16% with TIAS, 4% with PRIND] consecutively admitted between 1976 and 1981 investigates the rates of reinfarction after surgical treatment (extra-intracranial arterial bypass, EIAB and/or carotid thrombendarterectomy, TEA). 34% of patients had unilateral carotid stenosis, 26% unilateral internal carotid artery occlusion, 17% had occlusion of one and stenosis of the contralateral internal carotid artery, 14% bilateral carotid stenosis. Combined surgical morbidity and mortality was 5% after 158 operations in 124 patients; 7 of the 8 complications occurred in patients with CS. Of the 120 survivors in the immediate postoperative period, after a mean follow-up period of 5.7 years ranging from 3–8 years, an infarct occurred in 5.8%,i.e., 1% per year; 3 of them occurred ipsilaterally, 2 contralaterally to the first infarct, two remained unknown. Among all 99 patients with CS, the reinfarction rate was 5% (1% per year); in CS patients with a minimal follow-up of 5 years, the annual reinfarction rate was 2%. Of fifty-three patients with completed stroke after EIAB with a mean follow-up of 4.6 years, 3.8% suffered reinfarction (0.8% per year). Among 26 patients with CS and unilateral carotid occlusion after a mean follow-up of 4.7 years, the reinfarction rate was 3.9% (0.8% per year). Among 46 patients with carotid occlusion with or without further stenotic or occlusive lesions, the reinfarction rate was 2.2%. Comparing these follow-up data with results of medical treatment, it is concluded that a combination of surgical treatment and the administration of acetylsalicylic acid can be considered to improve the prognosis of patients with occlusive and/or stenotic cerebrovascular disease. Springer Online Journal Archives 1860-2002 Auer, L. M. oth Oberbauer, R. W. oth Clarici, G. oth Pucher, R. oth in Acta neurochirurgica 1950 82(1986) vom: März/Apr., Seite 102-109 (DE-627)NLEJ188985085 (DE-600)1464215-3 0942-0940 nnns volume:82 year:1986 month:03/04 pages:102-109 extent:8 http://dx.doi.org/10.1007/BF01456368 GBV_USEFLAG_U ZDB-1-SOJ GBV_NL_ARTICLE AR 82 1986 3/4 102-109 8 |
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(DE-627)NLEJ208129758 DE-627 ger DE-627 rakwb eng Surgical treatment of cerebrovascular occlusive disease. A follow-up study 1986 8 nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Summary This prospective open study of 124 patients [80% with completed stroke (CS), 16% with TIAS, 4% with PRIND] consecutively admitted between 1976 and 1981 investigates the rates of reinfarction after surgical treatment (extra-intracranial arterial bypass, EIAB and/or carotid thrombendarterectomy, TEA). 34% of patients had unilateral carotid stenosis, 26% unilateral internal carotid artery occlusion, 17% had occlusion of one and stenosis of the contralateral internal carotid artery, 14% bilateral carotid stenosis. Combined surgical morbidity and mortality was 5% after 158 operations in 124 patients; 7 of the 8 complications occurred in patients with CS. Of the 120 survivors in the immediate postoperative period, after a mean follow-up period of 5.7 years ranging from 3–8 years, an infarct occurred in 5.8%,i.e., 1% per year; 3 of them occurred ipsilaterally, 2 contralaterally to the first infarct, two remained unknown. Among all 99 patients with CS, the reinfarction rate was 5% (1% per year); in CS patients with a minimal follow-up of 5 years, the annual reinfarction rate was 2%. Of fifty-three patients with completed stroke after EIAB with a mean follow-up of 4.6 years, 3.8% suffered reinfarction (0.8% per year). Among 26 patients with CS and unilateral carotid occlusion after a mean follow-up of 4.7 years, the reinfarction rate was 3.9% (0.8% per year). Among 46 patients with carotid occlusion with or without further stenotic or occlusive lesions, the reinfarction rate was 2.2%. Comparing these follow-up data with results of medical treatment, it is concluded that a combination of surgical treatment and the administration of acetylsalicylic acid can be considered to improve the prognosis of patients with occlusive and/or stenotic cerebrovascular disease. Springer Online Journal Archives 1860-2002 Auer, L. M. oth Oberbauer, R. W. oth Clarici, G. oth Pucher, R. oth in Acta neurochirurgica 1950 82(1986) vom: März/Apr., Seite 102-109 (DE-627)NLEJ188985085 (DE-600)1464215-3 0942-0940 nnns volume:82 year:1986 month:03/04 pages:102-109 extent:8 http://dx.doi.org/10.1007/BF01456368 GBV_USEFLAG_U ZDB-1-SOJ GBV_NL_ARTICLE AR 82 1986 3/4 102-109 8 |
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Surgical treatment of cerebrovascular occlusive disease. A follow-up study |
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Summary This prospective open study of 124 patients [80% with completed stroke (CS), 16% with TIAS, 4% with PRIND] consecutively admitted between 1976 and 1981 investigates the rates of reinfarction after surgical treatment (extra-intracranial arterial bypass, EIAB and/or carotid thrombendarterectomy, TEA). 34% of patients had unilateral carotid stenosis, 26% unilateral internal carotid artery occlusion, 17% had occlusion of one and stenosis of the contralateral internal carotid artery, 14% bilateral carotid stenosis. Combined surgical morbidity and mortality was 5% after 158 operations in 124 patients; 7 of the 8 complications occurred in patients with CS. Of the 120 survivors in the immediate postoperative period, after a mean follow-up period of 5.7 years ranging from 3–8 years, an infarct occurred in 5.8%,i.e., 1% per year; 3 of them occurred ipsilaterally, 2 contralaterally to the first infarct, two remained unknown. Among all 99 patients with CS, the reinfarction rate was 5% (1% per year); in CS patients with a minimal follow-up of 5 years, the annual reinfarction rate was 2%. Of fifty-three patients with completed stroke after EIAB with a mean follow-up of 4.6 years, 3.8% suffered reinfarction (0.8% per year). Among 26 patients with CS and unilateral carotid occlusion after a mean follow-up of 4.7 years, the reinfarction rate was 3.9% (0.8% per year). Among 46 patients with carotid occlusion with or without further stenotic or occlusive lesions, the reinfarction rate was 2.2%. Comparing these follow-up data with results of medical treatment, it is concluded that a combination of surgical treatment and the administration of acetylsalicylic acid can be considered to improve the prognosis of patients with occlusive and/or stenotic cerebrovascular disease. |
| abstractGer |
Summary This prospective open study of 124 patients [80% with completed stroke (CS), 16% with TIAS, 4% with PRIND] consecutively admitted between 1976 and 1981 investigates the rates of reinfarction after surgical treatment (extra-intracranial arterial bypass, EIAB and/or carotid thrombendarterectomy, TEA). 34% of patients had unilateral carotid stenosis, 26% unilateral internal carotid artery occlusion, 17% had occlusion of one and stenosis of the contralateral internal carotid artery, 14% bilateral carotid stenosis. Combined surgical morbidity and mortality was 5% after 158 operations in 124 patients; 7 of the 8 complications occurred in patients with CS. Of the 120 survivors in the immediate postoperative period, after a mean follow-up period of 5.7 years ranging from 3–8 years, an infarct occurred in 5.8%,i.e., 1% per year; 3 of them occurred ipsilaterally, 2 contralaterally to the first infarct, two remained unknown. Among all 99 patients with CS, the reinfarction rate was 5% (1% per year); in CS patients with a minimal follow-up of 5 years, the annual reinfarction rate was 2%. Of fifty-three patients with completed stroke after EIAB with a mean follow-up of 4.6 years, 3.8% suffered reinfarction (0.8% per year). Among 26 patients with CS and unilateral carotid occlusion after a mean follow-up of 4.7 years, the reinfarction rate was 3.9% (0.8% per year). Among 46 patients with carotid occlusion with or without further stenotic or occlusive lesions, the reinfarction rate was 2.2%. Comparing these follow-up data with results of medical treatment, it is concluded that a combination of surgical treatment and the administration of acetylsalicylic acid can be considered to improve the prognosis of patients with occlusive and/or stenotic cerebrovascular disease. |
| abstract_unstemmed |
Summary This prospective open study of 124 patients [80% with completed stroke (CS), 16% with TIAS, 4% with PRIND] consecutively admitted between 1976 and 1981 investigates the rates of reinfarction after surgical treatment (extra-intracranial arterial bypass, EIAB and/or carotid thrombendarterectomy, TEA). 34% of patients had unilateral carotid stenosis, 26% unilateral internal carotid artery occlusion, 17% had occlusion of one and stenosis of the contralateral internal carotid artery, 14% bilateral carotid stenosis. Combined surgical morbidity and mortality was 5% after 158 operations in 124 patients; 7 of the 8 complications occurred in patients with CS. Of the 120 survivors in the immediate postoperative period, after a mean follow-up period of 5.7 years ranging from 3–8 years, an infarct occurred in 5.8%,i.e., 1% per year; 3 of them occurred ipsilaterally, 2 contralaterally to the first infarct, two remained unknown. Among all 99 patients with CS, the reinfarction rate was 5% (1% per year); in CS patients with a minimal follow-up of 5 years, the annual reinfarction rate was 2%. Of fifty-three patients with completed stroke after EIAB with a mean follow-up of 4.6 years, 3.8% suffered reinfarction (0.8% per year). Among 26 patients with CS and unilateral carotid occlusion after a mean follow-up of 4.7 years, the reinfarction rate was 3.9% (0.8% per year). Among 46 patients with carotid occlusion with or without further stenotic or occlusive lesions, the reinfarction rate was 2.2%. Comparing these follow-up data with results of medical treatment, it is concluded that a combination of surgical treatment and the administration of acetylsalicylic acid can be considered to improve the prognosis of patients with occlusive and/or stenotic cerebrovascular disease. |
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Surgical treatment of cerebrovascular occlusive disease. A follow-up study |
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