Takolander R J, Bergentz S E, Ericsson B F
Br J Surg. 1983 Jan;70(1):13-6. doi: 10.1002/bjs.1800700105.
Of 229 carotid artery reconstructions, 67 were performed in patients after a minor stroke. In this group of patients the operative mortality was 5.9 per cent, compared with 1.8 per cent in the group of patients without preoperative minor stroke operated upon during the same period of time. The 5-year survival in the stroke group was 86 per cent and in the non-stroke group it was 65 per cent. Excluding the postoperative mortality, the survival increases to 90 and 68 per cent respectively. The difference, which is significant at 6 years (P less than 0.05), is explained by a higher incidence of coronary artery disease in the non-stroke group. The postoperative annual stroke frequency was 2.3 per cent in the stroke group and 2.4 per cent in the non-stroke group. The stroke frequency on the operated side during follow-up was 1.6 per cent per year for both groups together. It seems that a minor stroke is no contraindication to carotid artery reconstruction provided the timing of the operation is correct and other contraindications are considered.
在229例颈动脉重建手术中，67例是在轻度中风患者中进行的。在这组患者中，手术死亡率为5.9%，而同期接受手术的无术前轻度中风患者组的手术死亡率为1.8%。中风组的5年生存率为86%，非中风组为65%。排除术后死亡率后，生存率分别提高到90%和68%。这种差异在6年时具有统计学意义（P小于0.05），原因是非中风组冠状动脉疾病的发病率较高。中风组术后每年的中风发生率为2.3%，非中风组为2.4%。两组随访期间手术侧的中风发生率每年均为1.6%。如果手术时机正确且考虑其他禁忌症，轻度中风似乎并非颈动脉重建的禁忌症。
