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Unstable Carotid Artery Syndrome: Clinical Management, Risks and Outcome

Department of Neurosciences, University of California, San Diego Medical Center, San Diego, California

Patrick Lyden

Department of Neurosciences, University of California, San Diego Medical Center, San Diego, California

John Yee

Department of Medicine, University of California, San Diego Medical Center, San Diego, California

W.C. Wiederholt

Department of Neurosciences, University of California, San Diego Medical Center, San Diego, California

Forty-five consecutive patients with unstable carotid artery syndrome were evaluated and treated, 23 surgically and 22 medically. Early cerebral angiogra phy and carotid endarterectomy yielded permanent neurologic morbidity/mor tality incidences of 0% and 8.7%, respectively. Despite a fairly high incidence of stroke acutely and during the follow-up period (24% and 8%, respectively), 80% of the total group continued at their baseline, prepresentation level of daily function at an average follow-up of 22.3 months. Aggressive clinical manage ment of this patient group is generally safe, but the efficacy of such manage ment remains unproven.

Vascular and Endovascular Surgery, Vol. 21, No. 4, 248-256 (1987)
DOI: 10.1177/153857448702100404


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