Natali J
Acta Chir Belg. 1979 Mar-Apr;78(2):73-83.
From December 1, 1964 to December 31, 1977, 613 patients underwent 699 operations for stenotic lesions of the internal carotid artery. One hundred and four of these cases, operated before December 31, 1972, were reevaluated at 5 years. These include 9 patients stage 0 (asymptomatic), 45 patients stage I (transitory), 8 patients stage II (progressive), 22 stage III mild (mild deficiencies), and 20 stage III severe (severe deficiencies). The overall 5 year mortality is 34% with a survival rate of 65%, steadily decreasing from 87% in the first year. There is a fundamental difference to be made between results in stages 0, I, mild-III and the other, for immediate and for 5 year mortality: 19% versus 67%. The rate of local recurrences is low: 3% of patients operated on the same side. In contrast, 11 subjects underwent a bilateral procedure. Carotidal endarteriectomy improves long term survival only moderately, mainly as a result of coronary disease. However it has an undisputable effect in diminishing neurological accidents.
1964年12月1日至1977年12月31日，613例患者因颈内动脉狭窄性病变接受了699次手术。其中104例于1972年12月31日前接受手术，在术后5年进行了重新评估。这些患者包括9例0期（无症状）、45例I期（短暂性）、8例II期（进行性）、22例III期轻度（轻度功能缺陷）和20例III期重度（重度功能缺陷）患者。总体5年死亡率为34%，生存率为65%，从第一年的87%稳步下降。0期、I期、轻度III期患者与其他患者在即刻死亡率和5年死亡率方面存在根本差异：分别为19%和67%。同侧手术患者的局部复发率较低：为3%。相比之下，有11例患者接受了双侧手术。颈动脉内膜切除术仅适度提高长期生存率，主要是由于冠心病。然而，它在减少神经意外方面具有无可争议的效果。
