지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 49 - 56 (8page)
이용수
초록· 키워드
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Background and Purpose Tis study evaluated the outcome following surgery for carotid artery stenosis in a single institution during a 10-year period and the relevance of aging to access to surgery.
Methods Between January 2001 and December 2010, 649 carotid endarterectomies (CEAs) were performed in 596 patients for internal carotid artery occlusive disease at our institution; 596 patients received unilateral CEAs and 53 patients received bilateral CEAs. Data regarding patient characteristics, comorbidities, stroke, mortality, restenosis, and other surgical complications were obtained from a review of medical records. Since elderly and high-risk patients comprise a signifcant proportion of the patient group undergoing CEAs, diferences in comorbidity and mortality were evaluated according to age when the patients were divided into three age groups: <70 years, 70–79 years, and ≥80 years.
Results Te mean age of the included patients was 67.5 years, and 88% were men. Symptomatic carotid stenosis was observed in 65.7% of patients. Te rate of perioperative stroke and death (within 30 days of the procedure) was 1.84%. Te overall mortality rate was higher among patients in the 70–79 years and >80 years age groups than among those in the <70 years age group, but there was no signifcant diference in stroke-related mortality among these three groups.
Conclusions CEA over a 10-year period has yielded acceptable outcomes in terms of stroke and mortality. Terefore, since CEA is a safe and efective strategy, it can be performed in elderly patients with acceptable life expectancy.
목차
등록된 정보가 없습니다.
참고문헌 (14)
참고문헌 신청
Keun-Sik Hong / 2013 / Stroke Statistics in Korea: Part I. Epidemiology and Risk Factors: A Report from the Korean Stroke Society and Clinical Research Center for Stroke / 대한뇌졸중학회지 15(1):2~20
Eastcott HH / 1954 / Reconstruction of internal carotid artery in a patient with intermittent attacks of hemiplegia / Lancet 267:994~996
Duncan JM / 2008 / Outcomes and risk factors in 1,609 carotid endarterectomies / Tex Heart Inst J 35:104~110
Ferguson GG / 1999 / The North American Symptomatic Carotid Endarterectomy Trial: surgical results in 1415 patients / Stroke 30:1751~1758
Lovrencic-Huzjan A / 2012 / Recommendations for management of patients with carotid stenosis / Stroke Res Treat 2012:175869
Eastcott HH / 1954 / Reconstruction of internal carotid artery in a patient with intermittent attacks of hemiplegia / Lancet 267:994~996
Duncan JM / 2008 / Outcomes and risk factors in 1,609 carotid endarterectomies / Tex Heart Inst J 35:104~110
Ferguson GG / 1999 / The North American Symptomatic Carotid Endarterectomy Trial: surgical results in 1415 patients / Stroke 30:1751~1758
Lovrencic-Huzjan A / 2012 / Recommendations for management of patients with carotid stenosis / Stroke Res Treat 2012:175869
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