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
2011 Impact Factor: 0.864
2011 SCImago Journal Rankings: 0.077
ISI Accession Number IDWOS:000175635200014
ReferencesReferences in Scopus
DC Field
Value
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
2011 Impact Factor: 0.864
2011 SCImago Journal Rankings: 0.077
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
Author Affiliations
  1. The University of Hong Kong