Asymptomatic tight stenosis of the internal carotid artery: long-term prognosis

Détails

ID Serval
serval:BIB_2A3EF8B8A940
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Asymptomatic tight stenosis of the internal carotid artery: long-term prognosis
Périodique
Neurology
Auteur(s)
Bogousslavsky  J., Despland  P. A., Regli  F.
ISSN
0028-3878 (Print)
Statut éditorial
Publié
Date de publication
06/1986
Volume
36
Numéro
6
Pages
861-3
Notes
Journal Article --- Old month value: Jun
Résumé
We followed 38 patients with a neck bruit due to symptomless internal carotid artery (ICA) stenosis greater than 90% for a mean period of 48 months. The annual rate of death or stroke was 7.2%. The cardiac death rate was 5.3% per year. Each year 1.7% of the patients had an unheralded ipsilateral infarct; after transient ischemic attacks, the proportion increased to 4.2%, and symptoms correlated with occlusion of the ICA. The low risk of unheralded ipsilateral infarct questions the usefulness of prophylactic endarterectomy. Diagnosis and treatment of risk factors and heart disease seem more important.
Mots-clé
Aged Carotid Artery Diseases/complications/*diagnosis/surgery Carotid Artery, Internal Cerebrovascular Disorders/*diagnosis/etiology Constriction, Pathologic/complications/diagnosis Endarterectomy Female Humans Ischemic Attack, Transient/diagnosis/etiology Male Middle Aged Prognosis Risk
Pubmed
Web of science
Création de la notice
25/01/2008 12:40
Dernière modification de la notice
03/03/2018 15:22
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