Postoperative neurological deficit after carotid endarterectomy: a mid-term outcome analysis

Cerebrovasc Dis. 2010 Aug;30(3):297-301. doi: 10.1159/000319073. Epub 2010 Jul 23.

Abstract

Background: To evaluate the neurological outcome of postoperative neurological deficit (PND) in patients undergoing carotid endarterectomy (CEA).

Methods: A total of 3.7% (n = 48) out of 1,290 consecutive patients developed PND and were assessed neurologically after a mid-term follow-up.

Results: After a 4-year follow-up, these patients were neurologically reevaluated. Clinical assessment revealed that 48% (n = 13) of the patients had a Rankin scale score of 0 or 1, 56% (n = 14) had a National Institutes of Health Stroke Scale score of 0 or 1, and 68.5% (n = 17) reached the maximum score on the Barthel index.

Conclusions: The neurofunctional prognosis of PND is good. Four years after CEA, almost half of the patients had normal or near-normal neuroclinical findings.

MeSH terms

  • Aged
  • Carotid Stenosis / surgery*
  • Endarterectomy, Carotid*
  • Female
  • Follow-Up Studies
  • Humans
  • Ischemic Attack, Transient / complications
  • Male
  • Middle Aged
  • Nervous System Diseases / diagnosis*
  • Nervous System Diseases / epidemiology*
  • Postoperative Complications*
  • Prognosis
  • Regression Analysis
  • Retrospective Studies
  • Risk Factors
  • Stroke / complications