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Article: Early and late outcomes in Hong Kong Chinese patients undergoing carotid endarterectomy
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TitleEarly and late outcomes in Hong Kong Chinese patients undergoing carotid endarterectomy
 
AuthorsTing, ACW1
Cheng, SWK1
Cheung, J1
Ho, P1
Wu, LLH1
Cheung, GCY1
 
KeywordsCarotid endarterectomy
Chinese patients
Outcomes
 
Issue Date2002
 
PublisherZhonghua Yixuehui. The Journal's web site is located at http://www.cmj.org/
 
CitationChinese Medical Journal, 2002, v. 115 n. 4, p. 536-539 [How to Cite?]
 
AbstractObjective. To determine the benefit of carotid endarterectomy (CEA) for stroke prevention by reviewing the early and late outcomes of Hong Kong Chinese patients undergoing CEA who have a high reported incidence of intracranial atherosclerotic disease (IAD). Methods. Fifty-nine Chinese patients underwent 62 CEA. There were 48 males and 11 females, with a mean age of 70 ± 7 years (range: 52 - 86 years). Twenty-one CEA (34%) were performed for asymptomatic disease. Duplex scan was the primary tool of evaluation prior to surgery. Preoperative angiography was done in 36 instances (58%). All CEA were performed under general anaesthesia with routine intraoperative shunting. The arteriotomy was closed primarily in all patients except three. Patients were followed up regularly with six-monthly Duplex scan surveillance. Results. There were 2 perioperative neurological events consisting of one transient ischemic attack and one minor stroke. There was no operative mortality or major morbidity such as bleeding or cranial nerve injury. Mean hospital stay was 6.5 ± 4 days (range: 3 - 26 days). The patients were followed up for a mean interval of 24 ± 17 months (range: 1 - 57 months). Seven patients died during follow-up and subsequent neurological events occurred in 5 patients, including 2 fatal strokes. The 3-year survival, freedom from stroke and stroke free survival were 86%, 87% and 83%, respectively. One recurrent stenosis of 80% was detected on follow-up Duplex scan. Conclusions. Despite a high incidence of IAD, CEA in Hong Kong Chinese patients is associated with acceptable perioperative morbidity and mortality with satisfactory long-term efficacy in stroke prevention.
 
ISSN0366-6999
2013 Impact Factor: 1.016
2013 SCImago Journal Rankings: 0.433
 
ISI Accession Number IDWOS:000175635200014
 
ReferencesReferences in Scopus
 
DC FieldValue
dc.contributor.authorTing, ACW
 
dc.contributor.authorCheng, SWK
 
dc.contributor.authorCheung, J
 
dc.contributor.authorHo, P
 
dc.contributor.authorWu, LLH
 
dc.contributor.authorCheung, GCY
 
dc.date.accessioned2010-09-06T08:48:14Z
 
dc.date.available2010-09-06T08:48:14Z
 
dc.date.issued2002
 
dc.description.abstractObjective. To determine the benefit of carotid endarterectomy (CEA) for stroke prevention by reviewing the early and late outcomes of Hong Kong Chinese patients undergoing CEA who have a high reported incidence of intracranial atherosclerotic disease (IAD). Methods. Fifty-nine Chinese patients underwent 62 CEA. There were 48 males and 11 females, with a mean age of 70 ± 7 years (range: 52 - 86 years). Twenty-one CEA (34%) were performed for asymptomatic disease. Duplex scan was the primary tool of evaluation prior to surgery. Preoperative angiography was done in 36 instances (58%). All CEA were performed under general anaesthesia with routine intraoperative shunting. The arteriotomy was closed primarily in all patients except three. Patients were followed up regularly with six-monthly Duplex scan surveillance. Results. There were 2 perioperative neurological events consisting of one transient ischemic attack and one minor stroke. There was no operative mortality or major morbidity such as bleeding or cranial nerve injury. Mean hospital stay was 6.5 ± 4 days (range: 3 - 26 days). The patients were followed up for a mean interval of 24 ± 17 months (range: 1 - 57 months). Seven patients died during follow-up and subsequent neurological events occurred in 5 patients, including 2 fatal strokes. The 3-year survival, freedom from stroke and stroke free survival were 86%, 87% and 83%, respectively. One recurrent stenosis of 80% was detected on follow-up Duplex scan. Conclusions. Despite a high incidence of IAD, CEA in Hong Kong Chinese patients is associated with acceptable perioperative morbidity and mortality with satisfactory long-term efficacy in stroke prevention.
 
dc.description.naturelink_to_OA_fulltext
 
dc.identifier.citationChinese Medical Journal, 2002, v. 115 n. 4, p. 536-539 [How to Cite?]
 
dc.identifier.epage539
 
dc.identifier.hkuros68997
 
dc.identifier.hkuros212322
 
dc.identifier.isiWOS:000175635200014
 
dc.identifier.issn0366-6999
2013 Impact Factor: 1.016
2013 SCImago Journal Rankings: 0.433
 
dc.identifier.issue4
 
dc.identifier.openurl
 
dc.identifier.pmid12133292
 
dc.identifier.scopuseid_2-s2.0-0036100270
 
dc.identifier.spage536
 
dc.identifier.urihttp://hdl.handle.net/10722/84042
 
dc.identifier.volume115
 
dc.languageeng
 
dc.publisherZhonghua Yixuehui. The Journal's web site is located at http://www.cmj.org/
 
dc.publisher.placeChina
 
dc.relation.ispartofChinese Medical Journal
 
dc.relation.referencesReferences in Scopus
 
dc.subject.meshAged
 
dc.subject.meshAged, 80 and over
 
dc.subject.meshCarotid Stenosis - surgery
 
dc.subject.meshEndarterectomy, Carotid - adverse effects
 
dc.subject.meshFemale
 
dc.subjectCarotid endarterectomy
 
dc.subjectChinese patients
 
dc.subjectOutcomes
 
dc.titleEarly and late outcomes in Hong Kong Chinese patients undergoing carotid endarterectomy
 
dc.typeArticle
 
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<contributor.author>Wu, LLH</contributor.author>
<contributor.author>Cheung, GCY</contributor.author>
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<description.abstract>Objective. To determine the benefit of carotid endarterectomy (CEA) for stroke prevention by reviewing the early and late outcomes of Hong Kong Chinese patients undergoing CEA who have a high reported incidence of intracranial atherosclerotic disease (IAD). Methods. Fifty-nine Chinese patients underwent 62 CEA. There were 48 males and 11 females, with a mean age of 70 &#177; 7 years (range: 52 - 86 years). Twenty-one CEA (34%) were performed for asymptomatic disease. Duplex scan was the primary tool of evaluation prior to surgery. Preoperative angiography was done in 36 instances (58%). All CEA were performed under general anaesthesia with routine intraoperative shunting. The arteriotomy was closed primarily in all patients except three. Patients were followed up regularly with six-monthly Duplex scan surveillance. Results. There were 2 perioperative neurological events consisting of one transient ischemic attack and one minor stroke. There was no operative mortality or major morbidity such as bleeding or cranial nerve injury. Mean hospital stay was 6.5 &#177; 4 days (range: 3 - 26 days). The patients were followed up for a mean interval of 24 &#177; 17 months (range: 1 - 57 months). Seven patients died during follow-up and subsequent neurological events occurred in 5 patients, including 2 fatal strokes. The 3-year survival, freedom from stroke and stroke free survival were 86%, 87% and 83%, respectively. One recurrent stenosis of 80% was detected on follow-up Duplex scan. Conclusions. Despite a high incidence of IAD, CEA in Hong Kong Chinese patients is associated with acceptable perioperative morbidity and mortality with satisfactory long-term efficacy in stroke prevention.</description.abstract>
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Author Affiliations
  1. The University of Hong Kong