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  • Title: Carotid endarterectomy in high-risk Arab patients.
    Author: Elsharawy MA.
    Journal: Interact Cardiovasc Thorac Surg; 2009 Jan; 8(1):100-3. PubMed ID: 18854337.
    Abstract:
    OBJECTIVES: Carotid artery angioplasty and stenting (CAS) has developed quickly and has started to replace carotid endarterectomy (CE) in high-risk cases. However, there are conflicting reports about the results of CAS in such cases. The current study was undertaken to assess the results of CE in high-risk Arab patients over two years at a single center. PATIENTS AND METHODS: The study was performed on all Arab patients referred to King Fahd Hospital of the University for CE with high risk for surgery from August 2004 to August 2006. High-risk factors were recorded. The primary end points were the occurrence of stroke, myocardial infarction and death in the first 30 postoperative days and in follow-up for one year. RESULTS: Thirty-one CE procedures were performed in 29 high-risk Arab patients. Twenty-five patients had severe ischemic heart disease and were prepared for coronary artery bypass grafting. One patient (3%) had preoperative cardiac arrest and after resuscitation developed stroke. One patient died (3%) suddenly nine months after surgery. No recurrence or stroke was recorded over a one-year follow-up period. CONCLUSION: This short report showed that CE can be performed safely in high-risk Arab patients.
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