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 ± 7.9 | | 69.72 ± 8.13 | | <0.0001 (95% CI: 4.12 ± 1.27) | Sex: males | 114 | 83.8% | 1054 | 68.3% | 0.001 | Risk factors | | | | | | Smoke | 103 | 75.7% | 828 | 53.7% | <0.0001 | Hypertension | 104 | 76.5% | 1238 | 80.2% | 0.111 | Diabetes | 42 | 30.9% | 422 | 27.3% | 0.551 | Hyperlipidemia | 60 | 44.1% | 637 | 41.3% | 0.763 | Ischemic heart disease | 41 | 30.1% | 518 | 33.6% | 0.356 | Peripheral arterial disease | 45 | 33.1% | 248 | 16.1% | <0.0001 | Abdominal aortic aneurysm | 3 | 2.2% | 72 | 4.7% | 0.243 | Neurological presentation | | | | | | Asymptomatic | 50 | 36.8% | 838 | 55.8% | <0.0001 | Symptomatic | 86 | 63.2% | 665 | 46.4% | TIA | 60 | 44.1% | 491 | 32.7% | | STROKE | 26 | 19.1% | 174 | 11.6% | | Shunt implantation | 40 | 29.4% | 121 | 8% | <0.0001 | Infarct on neuroimaging* | | | | | <0.0001 | Yes | 65 | 47.8% | 379 | 25.2% | Ipsilateral to CEA | 12 | 8.8% | 213 | 14.2% | Contralateral to CEA | 41 | 30.2% | 64 | 4.2% | Bilateral | 12 | 8.8% | 102 | 6.8% | No/NK | 71 | 52.2% | 1124 | 74.8% |
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CO: contralateral carotid occlusion; NK: not known; *detected by either brain CT or MRI.
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