Eckstein H H, Laubach H, Ringleb P, Dörfler A, Allenberg J R
Chirurgische Universitätsklinik, Sektion Gefässchirurgie, Heidelberg.
Langenbecks Arch Chir Suppl Kongressbd. 1997;114:1298-301.
In 56 patients, carotid endarterectomy (CEA) was performed 14 days (median) after a non-disabling carotid-related stroke with a perioperative minor stroke rate of 3.6%. Even large ischemic brain infarcts on CT scan did not exclude patients from CEA, as long as the patient had reached a neurologic plateau. The data from this study indicate that CEA can be performed safely in properly selected patients, and might reduce the high risk of a recurrent stroke (5%-9.5% within 30 days).
在56例患者中，在非致残性颈动脉相关卒中发生14天（中位数）后进行了颈动脉内膜切除术（CEA），围手术期轻度卒中发生率为3.6%。即使CT扫描显示有大面积缺血性脑梗死，只要患者达到神经功能稳定状态，也不排除其接受CEA手术。这项研究的数据表明，在经过适当选择的患者中，CEA手术可以安全进行，并且可能降低复发性卒中的高风险（30天内为5%-9.5%）。
