Matches in SemOpenAlex for { <https://semopenalex.org/work/W2046554249> ?p ?o ?g. }
Showing items 1 to 95 of
95
with 100 items per page.
- W2046554249 endingPage "471" @default.
- W2046554249 startingPage "469" @default.
- W2046554249 abstract "While carotid endarterectomy (CEA) can often be accomplished with a very low stroke risk, certain scenarios--prior ipsilateral stroke, contralateral carotid occlusion, or acute cerebral ischemia--have been associated with neurologic morbidity and mortality rates exceeding 10%. The routine use of temporary intraluminal carotid shunts has been thought to be obligatory in such patients, notwithstanding the fact that these devices are obtrusive and may be associated with an increased risk of perioperative stroke. Among 175 patients undergoing CEA, 68 could be classified as high-risk (contralateral carotid occlusion, n = 24; prior ipsilateral stroke, n = 28; acute cerebral ischemia, n = 16). CEA was performed under regional or local anesthetic block in all 68 patients. Sixty-six patients (97%), including 22 of 24 (92%) with contralateral carotid occlusion, underwent CEA (carotid occlusion times averaging 22 minutes [range: 12 to 42 minutes]) without insertion of a carotid shunt. Two patients (2.9%) with contralateral carotid occlusion lost consciousness 7 and 10 minutes after carotid clamping, but regained neurologic normalcy after shunt insertion. A single patient (1.5%) experienced a fatal stroke due to heparin-induced white clot syndrome. Rates of shunt insertion and of perioperative stroke did not differ from those in 107 low-risk CEA patients. Cerebral collateral circulation is well developed even in compromised CEA patients. The necessity for temporary carotid shunts may be reduced by the use of awake anesthesia in such cases. Carotid shunting may be no more necessary, and operative outcome no less favorable, in high-risk than in uncomplicated CEA patients." @default.
- W2046554249 created "2016-06-24" @default.
- W2046554249 creator A5058444447 @default.
- W2046554249 creator A5075552103 @default.
- W2046554249 date "1994-05-01" @default.
- W2046554249 modified "2023-09-25" @default.
- W2046554249 title "Optimal outcome for “high-risk” carotid endarterectomy" @default.
- W2046554249 cites W1966129328 @default.
- W2046554249 cites W1974206392 @default.
- W2046554249 cites W1976122475 @default.
- W2046554249 cites W1979550050 @default.
- W2046554249 cites W1993135672 @default.
- W2046554249 cites W1994400664 @default.
- W2046554249 cites W1997453333 @default.
- W2046554249 cites W2004151711 @default.
- W2046554249 cites W2010146372 @default.
- W2046554249 cites W2018457901 @default.
- W2046554249 cites W2018888309 @default.
- W2046554249 cites W2020612524 @default.
- W2046554249 cites W2030272872 @default.
- W2046554249 cites W2033783015 @default.
- W2046554249 cites W2036397809 @default.
- W2046554249 cites W2042830105 @default.
- W2046554249 cites W2054130774 @default.
- W2046554249 cites W2076946589 @default.
- W2046554249 cites W2084016568 @default.
- W2046554249 cites W2139580847 @default.
- W2046554249 cites W2140131798 @default.
- W2046554249 cites W2164648447 @default.
- W2046554249 cites W2413740667 @default.
- W2046554249 cites W2462946007 @default.
- W2046554249 cites W2767911074 @default.
- W2046554249 cites W3034355295 @default.
- W2046554249 cites W2993659547 @default.
- W2046554249 doi "https://doi.org/10.1016/0002-9610(94)90236-4" @default.
- W2046554249 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/8185028" @default.
- W2046554249 hasPublicationYear "1994" @default.
- W2046554249 type Work @default.
- W2046554249 sameAs 2046554249 @default.
- W2046554249 citedByCount "14" @default.
- W2046554249 crossrefType "journal-article" @default.
- W2046554249 hasAuthorship W2046554249A5058444447 @default.
- W2046554249 hasAuthorship W2046554249A5075552103 @default.
- W2046554249 hasConcept C127413603 @default.
- W2046554249 hasConcept C141071460 @default.
- W2046554249 hasConcept C164705383 @default.
- W2046554249 hasConcept C2776268601 @default.
- W2046554249 hasConcept C2776599846 @default.
- W2046554249 hasConcept C2777466421 @default.
- W2046554249 hasConcept C2780645631 @default.
- W2046554249 hasConcept C2780968331 @default.
- W2046554249 hasConcept C2781068581 @default.
- W2046554249 hasConcept C2987047532 @default.
- W2046554249 hasConcept C31174226 @default.
- W2046554249 hasConcept C42219234 @default.
- W2046554249 hasConcept C541997718 @default.
- W2046554249 hasConcept C71924100 @default.
- W2046554249 hasConcept C78519656 @default.
- W2046554249 hasConceptScore W2046554249C127413603 @default.
- W2046554249 hasConceptScore W2046554249C141071460 @default.
- W2046554249 hasConceptScore W2046554249C164705383 @default.
- W2046554249 hasConceptScore W2046554249C2776268601 @default.
- W2046554249 hasConceptScore W2046554249C2776599846 @default.
- W2046554249 hasConceptScore W2046554249C2777466421 @default.
- W2046554249 hasConceptScore W2046554249C2780645631 @default.
- W2046554249 hasConceptScore W2046554249C2780968331 @default.
- W2046554249 hasConceptScore W2046554249C2781068581 @default.
- W2046554249 hasConceptScore W2046554249C2987047532 @default.
- W2046554249 hasConceptScore W2046554249C31174226 @default.
- W2046554249 hasConceptScore W2046554249C42219234 @default.
- W2046554249 hasConceptScore W2046554249C541997718 @default.
- W2046554249 hasConceptScore W2046554249C71924100 @default.
- W2046554249 hasConceptScore W2046554249C78519656 @default.
- W2046554249 hasIssue "5" @default.
- W2046554249 hasLocation W20465542491 @default.
- W2046554249 hasLocation W20465542492 @default.
- W2046554249 hasOpenAccess W2046554249 @default.
- W2046554249 hasPrimaryLocation W20465542491 @default.
- W2046554249 hasRelatedWork W1992699737 @default.
- W2046554249 hasRelatedWork W2058586059 @default.
- W2046554249 hasRelatedWork W2085283102 @default.
- W2046554249 hasRelatedWork W2087392442 @default.
- W2046554249 hasRelatedWork W2094302058 @default.
- W2046554249 hasRelatedWork W2387330792 @default.
- W2046554249 hasRelatedWork W2762671404 @default.
- W2046554249 hasRelatedWork W2996108252 @default.
- W2046554249 hasRelatedWork W3083934830 @default.
- W2046554249 hasRelatedWork W4236058717 @default.
- W2046554249 hasVolume "167" @default.
- W2046554249 isParatext "false" @default.
- W2046554249 isRetracted "false" @default.
- W2046554249 magId "2046554249" @default.
- W2046554249 workType "article" @default.