NEUROLOGIC DEFICIT FOLLOWING CAROTID ENDARTERECTOMY

  • 1 January 1982
    • journal article
    • research article
    • Vol. 154  (6) , 849-852
Abstract
Neurologic deficit immediately following carotid endarterectomy, most commonly, is the result of a technical error. Permanent neurologic deficit developed in 9 patients and temporary neurologic deficit developed in 9 patients and temporary neurologic deficit developed in 7 in the early postoperative period. The cause was determined by immediate re-exploration or angiography in 8 of the 9 of the permanent deficit group, and a technical error was demonstrated in 6. The cause of the temporary deficit was determined in 4 of 7 patients. Emboli were the cause in 3 patients, and coagulation abnormality was the cause in the 4th. Patients in whom deficits developed in the early postoperative period should immediately undergo exploration. If thrombosed, a thrombectomy and revision of the repair should be done, and, if patent, operative angiography should be performed to identify abnormalities which should be corrected.

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