Carotid endarterectomy in the octogenarian with contralateral disease: A single center experience

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dc.authorscopusid56238449900
dc.authorscopusid6504040253
dc.authorscopusid37101633500
dc.authorscopusid6507496513
dc.authorscopusid56804748200
dc.authorscopusid6603396178
dc.authorscopusid6602878656
dc.contributor.authorGoksel, Onur S.
dc.contributor.authorKaratepe, Celalettin
dc.contributor.authorGok, Emre
dc.contributor.authorSayin, Omer A.
dc.contributor.authorKamber, Murat
dc.contributor.authorÇinar, Bayer
dc.contributor.authorAlpagut, Ufuk
dc.date.accessioned2024-09-19T15:43:44Z
dc.date.available2024-09-19T15:43:44Z
dc.date.issued2014
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractBackground: As the growing proportion of octogenarians in the ageing population may lead to a dramatic increase in cerebrovascular disease, preventing and treating stroke will be a serious challenge in the octogenarian. Objectives: We reviewed the outcome of carotid endarterectomy in the octogenarians with or without contralateral carotid stenosis or occlusion and compared the results with a similar cohort of younger age. Material and Methods: From 2005 to 2013, 142 CEAs were performed by a single surgical team on 128 patients were reviewed for early outcome in regards to hospital mortality and stroke. Results: 128 patients (111 males; mean 68.5±9.3 years-old, range 49-85) underwent CEA by the same surgical team. 14 patients had severe bilateral disease and underwent bilateral CEAs Smoking was significantly higher in the nonoctogenarians (6.2% vs. 21.8%, P<0.05). Preoperative history of transient ischemic events was the most common scenario in both octogenarians and the younger patients although preoperative transient neurologic deficits were more prominent in the non-octogenarians (50% vs. 71%, P<0.05). Contralateral carotid artery occlusion was seen in a total of 14 patients (12.5% in the octogenarians vs. 9% in the younger patients, P =0.52). Only one patient in the octogenarian group experienced a lateralizing stroke due to ipsilateral CEA in contrast to 3 patients (lateralizing stroke in 3 patients, lacunar state in one patient) in the younger patients. Conclusions: Carotid endarterectomy, despite the general perception, is a viable option for patients with CCO or bilateral disease even in the octogenarian group.en_US
dc.identifier.endpage1604en_US
dc.identifier.issn1205-6626
dc.identifier.issue7en_US
dc.identifier.scopus2-s2.0-84940223142en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage1596en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12483/14536
dc.identifier.volume20en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.relation.ispartofExperimental and Clinical Cardiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectBilateral diseaseen_US
dc.subjectCarotid endarterectomyen_US
dc.subjectOctogenarianen_US
dc.titleCarotid endarterectomy in the octogenarian with contralateral disease: A single center experienceen_US
dc.typeArticleen_US

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