Abstract
In a series of 56 staged bilateral carotid endarterectomies, new neurologic symptoms developed in 5% and 20% following the first and second procedure, respectively. All complications were transient or minor. The incidence of postendarterectomy hypertension was significantly higher following the second procedure, when operations were staged less than 3 weeks apart. A correlation between these hypertensive episodes and the occurrence of new neurologic symptoms could not be shown. However, as this correlation has been proved in several other reports, bilateral carotid endarterectomy is advised to be staged at least 3 weeks apart. In addition, a conservative attitude towards contralateral asymptomatic lesions is proposed.
| Original language | English |
|---|---|
| Journal | Journal of Vascular Surgery |
| Volume | 3 |
| Issue number | 2 |
| Pages (from-to) | 355-9 |
| Number of pages | 5 |
| ISSN | 0741-5214 |
| Publication status | Published - Feb 1986 |
| Externally published | Yes |
Keywords
- Adult
- Aged
- Carotid Arteries
- Carotid Artery Diseases
- Cerebrovascular Disorders
- Endarterectomy
- Female
- Humans
- Hypertension
- Ischemic Attack, Transient
- Male
- Middle Aged
- Risk
- Time Factors