Clinical Study

Contralateral Occlusion Increases the Risk of Neurological Complications Associated with Carotid Endarterectomy

Table 1

Analysis of demographic factors in 1639 primary carotid revascularizations.

CO
136 cases
Control group
1503 cases

Age (years) 67.02 ± 7.969.72 ± 8.13<0.0001
(95% CI: 4.12 ± 1.27)
Sex: males11483.8%105468.3%0.001
Risk factors
Smoke10375.7%82853.7%<0.0001
Hypertension10476.5%123880.2%0.111
Diabetes4230.9%42227.3%0.551
Hyperlipidemia6044.1%63741.3%0.763
Ischemic heart disease4130.1%51833.6%0.356
Peripheral arterial disease4533.1%24816.1%<0.0001
Abdominal aortic aneurysm32.2%724.7%0.243
Neurological presentation
Asymptomatic5036.8%83855.8%<0.0001
Symptomatic8663.2%66546.4%
 TIA 6044.1%49132.7%
 STROKE2619.1%17411.6%
Shunt implantation4029.4%1218%<0.0001
Infarct on neuroimaging*

<0.0001
 Yes6547.8%37925.2%
  Ipsilateral to CEA128.8%21314.2%
  Contralateral to CEA4130.2%644.2%
  Bilateral128.8%1026.8%
 No/NK7152.2%112474.8%

CO: contralateral carotid occlusion; NK: not known; *detected by either brain CT or MRI.