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A Japanese Hospital Reports Long-term Survival for 10 Years after Carotid Endarterectomy Sei HAGA 1 , Ken UDA 2 , Kenichi KONO 1 , Megumu MORI 1 , Ai UKA 1 , Yasuhiro HAMADA 1 , Masahiro YASAKA 3 , Yasushi OKADA 3 , Shinji NAGATA 1 1Department of Neurosurgery,Clinical Research Institute,National Hospital Organization Kyushu Medical Center 2Uda Neurosurgical Clinic 3Department of Neurosurgery Cerebrovascular Disease,National Hospital Organization Kyushu Medical Center Keyword: CEA , long-term survival pp.437-440
Published Date 2010/5/10
DOI https://doi.org/10.11477/mf.1436101165
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 BACKGROUND: Several reports in Western countries have demonstrated the net benefit and an acceptable long-term survival of carotid endarterectomy (CEA) for severe carotid stenosis. However,long-term follow-up after CEA for carotid stenosis is not well-documented in Japan. The aim of this study was to determine long-term outcomes of CEA in our hospital.

 METHODS: 38 consecutive patients underwent 42 CEAs at the Kyushu Medical Center between May, 1994 and December, 1998. Survival follow-up was conducted in December 2008 and the incidence of late stroke was investigated in all surviving patients.

 RESULTS: A total of 37 CEAs in 30 patients (83.3%) were registered. There were 28 males and 2 females, 25 symptomatc and 5 years asymptomatic, mean ages 68+/-7 years. Survival rate after CEA was 80.0% after 5 and 53.3% after 10-years, respectively. The 10 year survival ratio free from cerebral infarction was 36.7%.

 CONCLUSIONS: For the patients in this study,CEA is associated with an acceptable long-term survival as well as a satisfactory benefical effect in stroke prevention.


Copyright © 2010, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

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