Cerebral Infarct Topography and Early Outcome after Surgery for Symptomatic Carotid Stenosis: A Multicentre Study

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TitreCerebral Infarct Topography and Early Outcome after Surgery for Symptomatic Carotid Stenosis: A Multicentre Study
Type de publicationJournal Article
Year of Publication2017
AuteursKazandjian C, Settembre N, Lareyre F, Kretz B, Soudry-Faure A, Bejot Y, Malikov S, Flassen-Khodja R, Jean-Baptiste E, Steinmetz E
JournalCEREBROVASCULAR DISEASES
Volume44
Pagination291-296
Type of ArticleArticle
ISSN1015-9770
Mots-clésCarotid endarterectomy, carotid stenosis, Stroke
Résumé

{Introduction: Although carotid stenosis can cause both territorial and border-zone (BZ) cerebral infarcts (CI), the influence of CI topography on postoperative complications after surgery remains unclear. We compared early outcomes after endarterectomy on the basis of CI location: territorial (T group) or BZ group. Material and Methods: During the period between 2009 and 2013, ischaemic stroke patients who had undergone surgery for symptomatic carotid stenosis were identified from prospective databases from 3 French centres. The outcome was the identification of a combined stroke/death rate 30 days after endarterectomy. Results: Two hundred and eighty-nine patients were included, 216 (74.7%) in the T group and 73 (25.3%) in the BZ group. The mean degree of stenosis was comparable in the 2 groups (78 +/- 12% in the T group vs. 80 +/- 12% in the BZ group

DOI10.1159/000479934