Abstract
Of 78 patients with an internal carotid artery stenosis a thrombendarter ectomy was performed in 46 patients whereas 32 patients were treated by conservative methods. The clinical follow-up over a period of 10 years was investigated. The percentage of patients who received drugs for anticoagu lation was equal in both groups. Operated patients acquired a permanent neurologic deficit in 3% and nonoperated patients in 69%. The physical capacity improved in 92% of the operated and in 64% of patients treated conservatively. At the time of reexamination 78% of the operated and 34% of the nonoperated patients were living. The cause of death was cardiac in 42% of both groups and cerebral in 11% of the operated and in 32% of the nonoperated patients.
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