期刊
VASA-EUROPEAN JOURNAL OF VASCULAR MEDICINE
卷 49, 期 1, 页码 6-16出版社
VERLAG HANS HUBER HOGREFE AG
DOI: 10.1024/0301-1526/a000801
关键词
Carotid endarterectomy; stroke; outcome; literature meta-analysis; carotid artery occlusion
资金
- Ministry of Health of the Czech Republic [16-29148A]
Acute occlusion of the extracranial internal carotid artery (elCA) is associated with poor prognosis. Surgical desobliteratior has not received adequate attention in recent years. We therefore conducted a literature review and meta-analysis of surgical studies published after 2000 that treated elCA occlusion surgically in an emergency setting. The search identified 10 relevant articles that included a total of 175 patients. The outcomes analysed included rates of recanalization (93 %), early neurological improvement (66 %), modified Rankin Scale 0-2 (62 %), mortality (5 %), early reocclusion %), in-hospital stroke (4 %) and symptomatic intracerebral haemorrhage (4 %). In conclusion, acute surgical desobliteratior of eICA occlusion leads to high rates of recanalization and a majority of patients experience early neurological improvement and achieve favourable outcome. Rates of mortality, early reocclusion, in-hospital stroke and slCH are acceptable in the view of unfavourable natural history.
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