Carotid endarterectomy to correct asymptomatic XXXX : ten years later.

@entity1 @entity64 @entity932 @entity63 @entity1031 @entity543 @entity204
The ideal management of the @entity1 with an asymptomatic @entity543 remains controversial. The purpose of this article was to evaluate the effects of prophylactic carotid endarterectomy (CE) done to treat asymptomatic @entity543 (greater than 50% diameter reduction by angiography) 10 years later. In 1976, 42 prophylactic CEs were performed. There were no postoperative @entity204 or @entity64 . During 10-year follow-up two @entity64 occurred in the operated hemisphere; one @entity64 was fatal and was due to an @entity932 , whereas the other @entity64 was @entity1031 in origin. Two other @entity1 @entity64 in the contralateral hemisphere and seven @entity1 had transient @entity63 attacks in the contralateral hemisphere, which necessitated CE. The survival rate at the end of the study period by life-table analysis was 57% (mean 8.7 years). Sixteen late @entity204 occurred, with coronary artery-related disease the most common cause of @entity204 . This review with actual 10-year follow-up demonstrated that prophylactic CE may be performed with minimal risk, that late @entity64 in the operated hemisphere was negligible, and that long-term survival was similar to that of a comparable age-matched population, possibly because late @entity204 attributed to @entity64 were reduced. On the basis of long-term follow-up, CE to treat asymptomatic high-grade carotid stenoses appears to be indicated in appropriate @entity1 .
