Rinta K, Lepäntalo M, Lindfors O, von Knorring J, Scheinin T M
Acta Chir Scand. 1987 Feb;153(2):99-103.
Carotid reconstruction was performed on 75 patients (84 operations) mainly because of transient ischemic attacks (TIA) and/or amaurosis fugax (67%) or TIA with incomplete recovery (20%). The operative mortality was 2.4%. The incidence of permanent postoperative neurologic deficit was 6.0%. The postoperative observation time was 1 year to 13 years 5 months (mean 66 months). At follow-up 87% of the survivors were symptom-free. Three new strokes, one of them not related to the operated side, occurred follow-up, and 26 more patients died. The relative cumulative 5-year survival was 87.3%. Of the total 28 deaths, 16 were due to myocardial infarction. Mortality was significantly heightened and cumulative 5-year survival reduced when preoperative ECG had indicated coronary heart disease. The high incidence of deaths from myocardial disease during long-term follow-up was directly related to preoperative presence of coronary heart disease.
对75例患者（共进行了84次手术）实施了颈动脉重建术，主要原因是短暂性脑缺血发作（TIA）和/或一过性黑矇（67%），或TIA且恢复不完全（20%）。手术死亡率为2.4%。术后永久性神经功能缺损的发生率为6.0%。术后观察时间为1年至13年5个月（平均66个月）。随访时，87%的幸存者无症状。随访期间发生了3例新的中风，其中1例与手术侧无关，另有26例患者死亡。相对累积5年生存率为87.3%。在总共28例死亡病例中，16例死于心肌梗死。术前心电图显示患有冠心病时，死亡率显著升高，累积5年生存率降低。长期随访期间心肌病死亡的高发生率与术前冠心病的存在直接相关。
