A Japanese hospital reports long-term survival for 10 years after carotid endarterectomy

Several reports in Western countries have demonstrated the net benefit and an acceptable long-term survival of carotid endarterectomy (CEA) for severe carotid stenosis. However, long-term follow-up after CEA for carotid stenosis is not well-documented in Japan. The aim of this study was to determine...

Full description

Saved in:
Bibliographic Details
Published inNō shinkei geka Vol. 38; no. 5; p. 437
Main Authors Haga, Sei, Uda, Ken, Kono, Kenichi, Mori, Megumu, Uka, Ai, Hamada, Yasuhiro, Yasaka, Masahiro, Okada, Yasushi, Nagata, Shinji
Format Journal Article
LanguageJapanese
Published Japan 01.05.2010
Subjects
Aged
Endarterectomy, Carotid - mortality
Female
Follow-Up Studies
Humans
Japan - epidemiology
Male
Stroke - prevention & control
Survival Rate
Japan
Online AccessGet more information

Cover

More Information
Summary:Several reports in Western countries have demonstrated the net benefit and an acceptable long-term survival of carotid endarterectomy (CEA) for severe carotid stenosis. However, long-term follow-up after CEA for carotid stenosis is not well-documented in Japan. The aim of this study was to determine long-term outcomes of CEA in our hospital. 38 consecutive patients underwent 42 CEAs at the Kyushu Medical Center between May, 1994 and December, 1998. Survival follow-up was conducted in December 2008 and the incidence of late stroke was investigated in all surviving patients. A total of 37 CEAs in 30 patients (83.3%) were registered. There were 28 males and 2 females, 25 symptomatic and 5 years asymptomatic, mean ages 68+/-7 years. Survival rate after CEA was 80.0% after 5 and 53.3% after 10-years, respectively. The 10 year survival ratio free from cerebral infarction was 36.7%. For the patients in this study, CEA is associated with an acceptable long-term survival as well as a satisfactory benefical effect in stroke prevention.
ISSN:0301-2603
1882-1251