Meisel S, Bass A, Schneiderman J, Walden R, Adar R
Harefuah. 1989 Mar 1;116(5):245-7.
Carotid endarterectomy was performed 77 times in 73 symptomatic patients. In 67 of them there had been 1 or more transient ischemic attacks (TIA), in 4 transient atypical symptoms, and in 2 mild persistent neurological deficits. After operation 1 died of a stroke and 1 had a nonfatal myocardial infarction. In 3.3% of 33 low-risk patients (Sundt's classes 1 and 2) there was mild postoperative neurological deficit. The rate of neurological complications was much higher in 40 high-risk patients (classes 2 and 3), including 5 with postoperative stroke. Followup averaged 21.5 months (longest 54 months), the 5-year survival (by extrapolation from a life table analysis curve) was 87%, and there was only 1 fatal stroke. Those who recovered from operation without complications had an 86% chance of having no further neurological problems.
对73例有症状的患者实施了77次颈动脉内膜切除术。其中67例曾发生1次或多次短暂性脑缺血发作（TIA），4例有短暂性非典型症状，2例有轻度持续性神经功能缺损。术后1例死于中风，1例发生非致命性心肌梗死。33例低风险患者（Sundt分级1级和2级）中有3.3%出现轻度术后神经功能缺损。40例高风险患者（分级2级和3级）的神经并发症发生率要高得多，其中5例术后发生中风。随访平均21.5个月（最长54个月），5年生存率（通过生命表分析曲线外推）为87%，仅有1例致命性中风。术后无并发症康复的患者不再出现神经问题的几率为86%。
