Results from 88 consecutive prophylactic carotid endarterectomies in cerebral infarction and transitory ischemic attacks

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Abstract
Patients [32] with transitory ischemic attacks (TIA), 55 with cerebral infarction (minor stroke) and 1 with a disturbing bruise underwent carotid endarterectomy during a 4 yr period. Within the 1st 2 wk postoperatively, 10 patients (11%) had developed new neurological symptoms from the operated side. Two patients died postoperatively due to major stroke and 2 patients developed persistent neurological deficits, yielding a total operative mortality and permanent morbidity rate of 4.5%. In the other 6 patients the neurological signs and symptoms disappeared completely within 1 mo. During a follow-up for an average of 21 mo., the only symptoms from the operated side were TIA in 3 patients, while 3 patients developed TIA and 5 infarctions from other vascular territories.