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Outcome Following C...
Outcome Following Carotid Endarterectomy : Lessons Learned From a Large International Vascular Registry
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Menyhei, G. (författare)
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- Björck, Martin (författare)
- Uppsala universitet,Kärlkirurgi
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Beiles, B. (författare)
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Halbakken, E. (författare)
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Jensen, L. P. (författare)
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Lees, T. (författare)
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Palombo, D. (författare)
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Thomson, I. A. (författare)
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Venermo, M. (författare)
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Wigger, P. (författare)
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(creator_code:org_t)
- Elsevier BV, 2011
- 2011
- Engelska.
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Ingår i: European Journal of Vascular and Endovascular Surgery. - : Elsevier BV. - 1078-5884 .- 1532-2165. ; 41:6, s. 735-740
- Relaterad länk:
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http://www.ejves.com...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Objectives: The aim of the study was to assess if technical and patient-related factors are related to outcome after carotid surgery. Design: Vascunet is a collaboration of national and regional registries with 10 contributing countries. Patients and methods: Data from 48 035 carotid endarterectomies (CEAs) performed in 383 centres, during 2003-2007, were merged into a common database. Results: CEA was performed without patch (34%), with patch (40%) or with eversion (26%) in 74% for symptomatic and in 26% for asymptomatic disease. Overall (in-hospital and 30-day) mortality was 0.45%. Type of CEA or anaesthesia did not affect mortality, nor did contralateral occlusion. Mortality was higher in patients above the age of 75 years, for both genders (p < 0.05). The overall (in-hospital) stroke rate was 1.9%, the method of anaesthesia did not affect stroke rate. It was higher in patients with contratateral occlusion (4.6% vs. 2.5%, p = 0.002). Standard CEA without patch had a higher stroke rate than when a patch was used (2.3 vs. 1.7%, p = 0.015). Female patients >75 years had a higher stroke rate than younger women (2.0% vs. 1.6%, p = 0.078); this difference was not observed in men. Conclusions: Although there are limitations with registry data, the large number of cases involved provides useful information on outcomes, supplementing data from the randomised clinical trials (RCTs).
Nyckelord
- Registries
- Carotid surgery
- Eversion endarterectomy
- Validation
- Locoregional anaesthesia
- General anaesthesia
- MEDICINE
- MEDICIN
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Till lärosätets databas
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Menyhei, G.
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Björck, Martin
-
Beiles, B.
-
Halbakken, E.
-
Jensen, L. P.
-
Lees, T.
-
visa fler...
-
Palombo, D.
-
Thomson, I. A.
-
Venermo, M.
-
Wigger, P.
-
visa färre...
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European Journal ...
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Uppsala universitet