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Article: Early and late outcomes in Hong Kong Chinese patients undergoing carotid endarterectomy

TitleEarly and late outcomes in Hong Kong Chinese patients undergoing carotid endarterectomy
Authors
KeywordsCarotid endarterectomy
Chinese patients
Outcomes
Issue Date2002
PublisherChinese Medical Association. The Journal's web site is located at http://www.cmj.org/
Citation
Chinese Medical Journal, 2002, v. 115 n. 4, p. 536-539 How to Cite?
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 ± 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.
DescriptionFulltext link: http://www.ecmj.org.cn/ch/reader/view_abstract.aspx?volume=115&issue=4&start_page=536
Persistent Identifierhttp://hdl.handle.net/10722/84042
ISSN
2013 Impact Factor: 1.016
2013 SCImago Journal Rankings: 0.433
ISI Accession Number ID
References

 

Author Affiliations
  1. The University of Hong Kong
DC FieldValueLanguage
dc.contributor.authorTing, ACWen_HK
dc.contributor.authorCheng, SWKen_HK
dc.contributor.authorCheung, Jen_HK
dc.contributor.authorHo, Pen_HK
dc.contributor.authorWu, LLHen_HK
dc.contributor.authorCheung, GCYen_HK
dc.date.accessioned2010-09-06T08:48:14Z-
dc.date.available2010-09-06T08:48:14Z-
dc.date.issued2002en_HK
dc.identifier.citationChinese Medical Journal, 2002, v. 115 n. 4, p. 536-539en_HK
dc.identifier.issn0366-6999en_HK
dc.identifier.urihttp://hdl.handle.net/10722/84042-
dc.descriptionFulltext link: http://www.ecmj.org.cn/ch/reader/view_abstract.aspx?volume=115&issue=4&start_page=536-
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.en_HK
dc.languageengen_HK
dc.publisherChinese Medical Association. The Journal's web site is located at http://www.cmj.org/en_HK
dc.relation.ispartofChinese Medical Journalen_HK
dc.subjectCarotid endarterectomyen_HK
dc.subjectChinese patientsen_HK
dc.subjectOutcomesen_HK
dc.subject.meshAged-
dc.subject.meshAged, 80 and over-
dc.subject.meshCarotid Stenosis - surgery-
dc.subject.meshEndarterectomy, Carotid - adverse effects-
dc.subject.meshFemale-
dc.titleEarly and late outcomes in Hong Kong Chinese patients undergoing carotid endarterectomyen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0366-6999&volume=115&issue=4&spage=536&epage=539&date=2002&atitle=Early+and+late+outcomes+in+Hong+Kong+Chinese+patients+undergoing+carotid+endarterectomyen_HK
dc.identifier.emailCheng, SWK: wkcheng@hkucc.hku.hken_HK
dc.identifier.emailCheung, J: jcheung98@hotmail.comen_HK
dc.identifier.authorityCheng, SWK=rp00374en_HK
dc.identifier.authorityCheung, J=rp01685en_HK
dc.description.naturelink_to_OA_fulltext-
dc.identifier.pmid12133292en_HK
dc.identifier.scopuseid_2-s2.0-0036100270en_HK
dc.identifier.hkuros68997en_HK
dc.identifier.hkuros212322-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0036100270&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume115en_HK
dc.identifier.issue4en_HK
dc.identifier.spage536en_HK
dc.identifier.epage539en_HK
dc.identifier.isiWOS:000175635200014-
dc.publisher.placeChinaen_HK
dc.identifier.scopusauthoridTing, ACW=7102858552en_HK
dc.identifier.scopusauthoridCheng, SWK=7404684779en_HK
dc.identifier.scopusauthoridCheung, J=24554121300en_HK
dc.identifier.scopusauthoridHo, P=24469553100en_HK
dc.identifier.scopusauthoridWu, LLH=7404903103en_HK
dc.identifier.scopusauthoridCheung, GCY=15052803300en_HK

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