[Five year follow-up of 104 cardial artery deobliteration (author's transl)]

Area of Science:

• Vascular Surgery
• Neurology
• Cardiology

Context:

• Internal carotid artery stenosis affects numerous patients, posing risks of stroke and neurological deficits.
• Surgical intervention, specifically carotid endarteriectomy, has been a cornerstone treatment.
• Long-term outcomes and survival rates following this procedure require continued evaluation.

Purpose:

• To evaluate the 5-year outcomes, including mortality and recurrence rates, of patients who underwent carotid endarteriectomy.
• To assess the impact of disease severity (staging) on patient survival and procedural success.
• To determine the long-term survival benefits and neurological protection offered by carotid endarteriectomy.

Summary:

• A 5-year reevaluation of 104 patients who underwent carotid endarteriectomy for internal carotid artery stenosis between 1964 and 1972.
• Overall 5-year mortality was 34%, with survival rates decreasing from 87% in the first year.
• Mortality differed significantly by disease stage (19% for stages 0, I, mild-III vs. 67% for others). Local recurrence was low (3%).

Impact:

• Carotid endarteriectomy demonstrates a clear benefit in reducing neurological accidents.
• Long-term survival improvement is moderate, influenced by comorbid conditions like coronary disease.
• The procedure's effectiveness is strongly dependent on the stage of internal carotid artery stenosis at the time of surgery.