PMID- 36208934
OWN - NLM
STAT- MEDLINE
DCOM- 20221011
LR  - 20221011
IS  - 0035-9351 (Print)
IS  - 0035-9351 (Linking)
VI  - 101
IP  - 8
DP  - 2022 Fall
TI  - Efficacy and safety of urgent carotid endarterectomy in patients with acute 
      ischemic stroke.
PG  - 388-394
LID - 10.33699/PIS.2022.101.7.388-394 [doi]
AB  - INTRODUCTION: Acute symptomatic occlusion of the internal carotid artery (ICA) is 
      associated with unfavorable prognosis. However, no clear definition of its 
      optimal treatment exists. The aim of this study was to evaluate the efficacy and 
      risks of urgent carotid endarterectomy (CEA) in patients with ischemic stroke due 
      to acute extracranial ICA occlusion. METHODS: A retrospective analysis was 
      performed of all consecutive patients undergoing urgent CEA for acute 
      extracranial ICA occlusion during the period from July 2014 to June 2021. The 
      primary outcome was functional independence at three months defined as modified 
      Rankin Scale (mRS) score 2. Secondary outcomes included the severity of the 
      neurological deficit at the time of discharge and its comparison with the 
      preoperative condition as assessed using the National Institutes of Health Stroke 
      Scale (NIHSS), the incidence of symptomatic intracerebral hemorrhage (ICH), and 
      30-day periprocedural mortality. RESULTS: During the study period, a total of 42 
      urgent CEAs were performed for acute extracranial ICA occlusions. The median 
      preoperative NIHSS score was 7 (interquartile range [IQR] 5-13). The median time 
      interval between the onset of symptoms and surgery was 290 minutes (IQR 235-340). 
      Technical success rate of urgent CEA was 97.6% (41 patients). The median NIHSS at 
      the time of hospital discharge was 2 (IQR 3-7; p.
FAU - Gunka, I
AU  - Gunka I
FAU - Krajickova, D
AU  - Krajickova D
FAU - Lesko, M
AU  - Lesko M
FAU - Jiska, S
AU  - Jiska S
FAU - Hudak, A
AU  - Hudak A
FAU - Simunek, L
AU  - Simunek L
FAU - Raupach, J
AU  - Raupach J
LA  - eng
PT  - Journal Article
TT  - Efektivita a bezpečnost urgentni karoticke endarterektomie u pacientů s 
      akutni ischemickou cevni mozkovou přihodou.
PL  - Czech Republic
TA  - Rozhl Chir
JT  - Rozhledy v chirurgii : mesicnik Ceskoslovenske chirurgicke spolecnosti
JID - 9815441
SB  - IM
MH  - Carotid Artery, Internal/surgery
MH  - *Carotid Stenosis/complications/surgery
MH  - *Endarterectomy, Carotid/adverse effects
MH  - Humans
MH  - *Ischemic Stroke
MH  - Retrospective Studies
MH  - *Stroke/etiology
MH  - Time Factors
MH  - Treatment Outcome
OTO - NOTNLM
OT  - carotid endarterectomy
OT  - emergent
OT  - internal carotid artery
OT  - occlusion
OT  - stroke
OT  - urgent
EDAT- 2022/10/09 06:00
MHDA- 2022/10/12 06:00
CRDT- 2022/10/08 21:38
PHST- 2022/10/08 21:38 [entrez]
PHST- 2022/10/09 06:00 [pubmed]
PHST- 2022/10/12 06:00 [medline]
AID - 131904 [pii]
AID - 10.33699/PIS.2022.101.7.388-394 [doi]
PST - ppublish
SO  - Rozhl Chir. 2022 Fall;101(8):388-394. doi: 10.33699/PIS.2022.101.7.388-394.