Stroke after carotid endarterectomy

Abstract

Ключевые слова: каротидная эндартерэктомия, острое нарушение мозгового кровообращения, осложнения, предикторы, пожилой возраст. introduction. acute cerebrovascular accident (cva) is asevere complication after carotid endarterectomy and often causes death. Material and methods. the study included 1018 patients who underwent carotid endarterectomy (cea). group 1 consisted of 27 (2.6%) patients who had stroke, group 2-991 (98.4%) patient without this complication. Results. cva was more common in patients older than 70 years (p=0.02). copd, history of stroke, contralateral occlusion of internal carotid artery and atrial fibrillation were more often diagnosed in this group (p<0.0001). analysis showed correlation of cva with duration of internal carotid artery (ica) cross-clumping over 30 minutes (p=0.001), contralateral occlusion of internal carotid artery (p=0.01), previous stroke (0.009) and age over 70 years (p=0.05). Conclusion. data may be used to assess the risk of stroke after carotid endarterectomy.