Clinical relevance of cranial nerve injury following carotid endarterectomy.

ABSTRACT:

Objectives

The benefit of carotid endarterectomy (CEA) may be diminished by cranial nerve injury (CNI). Using a quality improvement registry, we aimed to identify the nerves affected, duration of symptoms (transient vs. persistent), and clinical predictors of CNI.

Methods

We identified all patients undergoing CEA in the Vascular Study Group of New England (VSGNE) between 2003 and 2011. Surgeon-observed CNI rate was determined at discharge (postoperative CNI) and at follow-up to determine persistent CNI (CNIs that persisted at routine follow-up visit). Hierarchical multivariable model controlling for surgeon and hospital was used to assess independent predictors for postoperative CNI.

Results

A total of 6,878 patients (33.8% symptomatic) were included for analyses. CNI

SUBMITTER: Fokkema M 

PROVIDER: S-EPMC4096657 | biostudies-literature | 2014 Jan

REPOSITORIES: biostudies-literature