Neurology
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Correspondence:
Submit a response
Right arrow Correspondence:
View responses
Right arrow Alert me when this article is cited
Right arrow Alert me when Correspondence are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Evans, B. A.
Right arrow Articles by Wijdicks, E. F.M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Evans, B. A.
Right arrow Articles by Wijdicks, E. F.M.
Related Collections
Right arrow All Cerebrovascular disease/Stroke
Right arrow Infarction
Neurology 2001;57:1328-1330
© 2001 American Academy of Neurology
Brief Communications

High-grade carotid stenosis detected before general surgery: Is endarterectomy indicated?

Bruce A. Evans, MD and Eelco F.M. Wijdicks, MD

From the Division of Cerebrovascular Diseases, Department of Neurology, Mayo Clinic, Rochester, MN.

Address correspondence and reprint requests to Dr. Bruce A. Evans, Mayo Clinic W8-A, 200 1st Street SW, Rochester, MN 55905; e-mail: bevans{at}mayo.edu

The risk of stroke in unselected patients and patients with a carotid bruit undergoing general anesthesia and surgery is very low. The incremental risk related to known carotid stenosis is uncertain. The authors studied 284 patients with ultrasound studies before general surgery, 224 of whom demonstrated carotid stenosis. Carotid stenosis was related to a perioperative risk of stroke of approximately 3.6%. Greater degrees of stenosis did not confer significantly higher risk. Although higher than in the unselected population, this risk does not appear sufficient to mandate prophylactic endarterectomy.




This article has been cited by other articles:


Home page
 Mayo Clin Proc.Home page
D. J. Blacker, K. D. Flemming, M. J. Link, and R. D. Brown Jr
The Preoperative Cerebrovascular Consultation: Common Cerebrovascular Questions Before General or Cardiac Surgery
Mayo Clin. Proc., February 1, 2004; 79(2): 223 - 229.
[Abstract] [PDF]

Home page
 StrokeHome page
D. J. Blacker, K. D. Flemming, and E. F.M. Wijdicks
Risk of Ischemic Stroke in Patients With Symptomatic Vertebrobasilar Stenosis Undergoing Surgical Procedures
Stroke, November 1, 2003; 34(11): 2659 - 2663.
[Abstract] [Full Text] [PDF]

Home page
 NeurologyHome page
E. Ballotta, B. A. Evans, and E. F. M. Wijdicks
High-grade carotid stenosis detected before general surgery: Is endarterectomy indicated?
Neurology, May 14, 2002; 58(9): 1442 - 1443.
[Full Text] [PDF]

Home page
 JWatch GastroenterologyHome page
Stroke After General Surgery in Patients with Carotid Stenosis
Journal Watch Gastroenterology, December 12, 2001; 2001(1212): 11 - 11.
[Full Text]

Home page
 JWatch GeneralHome page
Stroke After General Surgery in Patients with Carotid Stenosis
Journal Watch (General), October 26, 2001; 2001(1026): 4 - 4.
[Full Text]

Correspondence:

Read all Correspondence

High-grade carotid stenosis detected before general surgery: Is endarterectomy indicated?
Enzo Ballotta
Neurology Online, 18 Dec 2001 [Full text]
Reply to Dr. Ballotta's letter
Bruce A Evans, et al.
Neurology Online, 18 Dec 2001 [Full text]

HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2001 by AAN Enterprises, Inc.