Prateek K Gupta, Bala Ramanan, Jason N Mactaggart, Abhishek Sundaram, Xiang Fang, Himani Gupta, Jason M Johanning, Iraklis I Pipinos
OBJECTIVE: The latest guidelines recommend performance of carotid endarterectomy (CEA) on asymptomatic patients with high-grade carotid stenosis, only if the combined perioperative stroke, myocardial infarction (MI), or death risk is ≤3%. Our objective was to develop and validate a risk index to estimate the combined risk of perioperative stroke, MI, or death in asymptomatic patients undergoing elective CEA. METHODS: Asymptomatic patients who underwent an elective CEA (n = 17,692) were identified from the 2005-2010 National Surgical Quality Improvement Program, a multicenter, prospective database...
February 2013: Journal of Vascular Surgery