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- W2098762014 abstract "Patients presenting with carotid-related acute neurological symptoms are at hightened risk of stroke. Urgent CEA (uCEA) during the index hospitalization is indicated in select patients. We aimed to determine the effect of a dedicated vascular neurology team on the volume of uCEAs and assess outcomes. CEAs (n=436) performed at a tertiary center between 2005-2011 were analyzed. Chi-square was used to compare the uCEA volume pre- (June 2005-Aug. 2008) and post- (Sept. 2008-Nov. 2011) implementation of a vascular neurology service. Fisher's exact and t-tests were used to analyze perioperative outcomes. The proportion of uCEAs performed increased significantly after initiation of a vascular neurology service (4.1% [7/172] vs. 22.2% [49/221], P < .0001). Per annum, uCEAs increased from 5.3% (4/75) in 2005 to 39.6% (25/63) in 2011 (Fig). uCEA indications were stroke-in-evolution 10% (5/49), crescendo TIAs 6% (3/49), acute stroke 45% (22/49), and cerebral/ocular TIAs 39% (19/49). Mean National Institutes of Health Stroke Scale (NIHSS) was 3.5 (0-24); mean TIA score was 5 (1-8). A trend towards a higher combined stroke/death rate in the urgent compared to the elective symptomatic CEA group group was present (7.1 % [3/49] vs. 2% [1/49]; p = .36); however, patients undergoing uCEA with an NIHSS<10 had no perioperative complications. Collaboration with a vascular neurology team increased the volume of uCEAs over a three year period. In patients with mild strokes (NIHSS<10), uCEA outcomes approximate those for electively-performed CEAs." @default.
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- W2098762014 date "2012-06-01" @default.
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- W2098762014 title "RR23. A Stroke/Vascular Neurology Service Increases the Volume of Urgent CEAs Performed in a Tertiary Referral Center" @default.
- W2098762014 doi "https://doi.org/10.1016/j.jvs.2012.03.232" @default.
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