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Master Thesis

Results of early versus delayed carotid surgery after acute ischemic stroke

Abstract : Objective: Evaluate the 30-day outcomes of patients with an internal carotid artery (ICA) stenosis responsible for an acute brain infarct who underwent early (≤ 14 days) carotid endarterectomy (CEA) or delayed (15 days to 3 months) CEA. Methods: From July 2010 to June 2014, patients with a recent cerebral infarct who underwent CEA within 3 months after symptom onset were collected. This was a continuous, monocentric, and retrospective series. Two groups were identified : Group A with patients who underwent CEA in the first fourteen days after symptom onset and Group B with patients who underwent CEA from the fifteenth day to the third month after symptom onset. Death, stroke and major cardiac events were analyzed. Results: Seventy-one patients with ICA stenosis responsible for an acute brain infarct underwent CEA (73.2% men, with a median age of 71). Nineteen patients underwent early CEA and 52 underwent delayed CEA. The mean interval from initial examination to surgery was 9.5 days (range, 3-14 days) in Group A and was 42 days (range, 15-92 days) in Group B. After one month, and with a 98.6% follow-up, no postoperative complication occurred in Group A and 2 patients had post-operative stroke (3.8%) in Group B. Conclusion: This retrospective study confirms the satisfactory outcomes of early CEA after acute brain infarct. A strict clinical and radiological selection of patients allows to prevent early neurological complications. Keywords : carotid stenosis, early surgery, results, brain infarct.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01147146
Contributor : Jean-Hugues Morneau <>
Submitted on : Wednesday, April 29, 2015 - 4:39:11 PM
Last modification on : Tuesday, May 11, 2021 - 11:36:17 AM
Long-term archiving on: : Wednesday, April 19, 2017 - 10:43:17 AM

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  • HAL Id : dumas-01147146, version 1

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Sébastien Perou. Results of early versus delayed carotid surgery after acute ischemic stroke. Human health and pathology. 2015. ⟨dumas-01147146⟩

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