Abstract：
OBJECTIVE:Complete occlusion of the contralateral carotid artery has been thought to increase the risk of carotid endarterectomy (CEA). This study was conducted to determine whether contralateral occlusion (CO) leads to a higher rate of complications among patients undergoing CEA or alters long-term outcomes. METHODS:All CEAs (N = 221) performed at our institution between September 1997 and June 2002 were reviewed. Patients were divided into two groups, i.e., CO and contralateral patency. Statistical analyses were performed using Fisher's exact test for nominal values and the t test for continuous variables. Life-table analyses were performed for patency and survival. RESULTS:Complete data and follow-up results were available for 170 of the 221 operations performed during the study period. CO was present in 16 cases (9.4%). Preoperative demographic features, indications for surgery, and operative techniques did not vary between study groups; there was increased use of general anesthesia (p = 0.05) in the CO group. No surgical deaths occurred. The perioperative stroke rates were not statistically different between groups (CO group, 6.3%; contralateral patency group, 2.6%; p = 0.39). Long-term patency and stroke-free survival rates at 5 years exceeded 90% and did not vary significantly between groups. CONCLUSION:Patients undergoing CEA with occlusion of the contralateral carotid artery do not have unique preoperative demographic features or indications. Contralateral carotid artery occlusion does not increase risk or alter long-term outcomes after CEA. Carotid revascularization can be safely performed in tertiary military centers.
journal_name
Mil Medjournal_title
Military medicineauthors
Fitzpatrick CM,Chiou AC,DeCaprio JD,Kashyap VSdoi
10.7205/milmed.170.12.1069keywords:
subject
Has Abstractpub_date
2005-12-01 00:00:00pages
1069-74issue
12eissn
0026-4075issn
1930-613Xjournal_volume
170pub_type
杂志文章abstract：:Many preventable diseases affecting troop strength are directly attributed to disease-carrying insects. The first line of defense against arthropod vectors is the use of personal protective measures. The concurrent application of DEET (N,N-diethyl-m-toluamide) repellent on the skin and permethrin [(3-phenoxy-phenyl)me...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：
更新日期：1998-05-01 00:00:00
abstract：:Occupational upper-extremity disorders have been associated with prolonged pain and work disability. Using the U.S. Army Physical Disability Agency database, the present case-control studies (n = 434 and n = 342) investigated the contribution of demographic, physical, occupational psychosocial, and individual psychoso...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1998-08-01 00:00:00
abstract：:A mathematical model revealing the relationships between bed capacity, average patient admission rate, average patient length of stay, utilization rate, and overfill rate in intensive care units is developed and explained. Mathematical model predictions are compared to predictions of two kinds of discrete event intens...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1995-05-01 00:00:00
abstract：:Burnout is a syndrome of emotional exhaustion, depersonalization, and reduced personal accomplishment that can occur among individuals who do "people work" of some kind. Health care providers, including dentists, are at high risk for burnout because their occupations often require intense interactions between themselv...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1991-03-01 00:00:00
abstract：BACKGROUND:Fluid intake during military training is prescribed based on the interactions among work rates, environmental conditions, and uniform configurations. The efficacy of this guidance has not been empirically assessed in over a decade. To determine the acceptability of the fluid intake guidance, sweat losses wer...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usy066
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-17-00010
更新日期：2017-09-01 00:00:00
abstract：:The results of a drug use evaluation of lisinopril at a large teaching military medical center are reported. Indicators and thresholds were developed and approved by the Pharmacy and Therapeutics Committee. The medical charts of 227 patients for whom lisinopril was prescribed from June 1991 to June 1992 were reviewed ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1997-02-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.172.9.962
更新日期：2007-09-01 00:00:00
abstract：:The Department of Defense Familial Breast/Ovarian Cancer Research Project has offered genetic counseling and testing for BRCA1 and BRCA2 on a research basis to patients meeting specific diagnostic criteria, with risk for BRCA1 and BRCA2 mutations calculated based on the Couch model. In 2.5 years, 250 patients were eva...
journal_title：Military medicine
pub_type： 杂志文章,多中心研究
doi：
更新日期：2002-02-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1996-03-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
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更新日期：2020-12-30 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-16-00090
更新日期：2017-03-01 00:00:00
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journal_title：Military medicine
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doi：10.7205/milmed-d-11-00257
更新日期：2012-05-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-11-00114
更新日期：2011-10-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1999-09-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.171.1.29
更新日期：2006-01-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-12-00066
更新日期：2012-09-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1999-09-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章,评审
doi：
更新日期：2003-05-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-11-00079
更新日期：2011-07-01 00:00:00
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journal_title：Military medicine
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更新日期：2017-09-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2001-02-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-15-00228
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journal_title：Military medicine
pub_type： 杂志文章
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更新日期：2006-02-01 00:00:00
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journal_title：Military medicine
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更新日期：2020-06-08 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.173.supplement_1.29
更新日期：2008-01-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章,评审
doi：10.7205/MILMED-D-14-00239
更新日期：2015-01-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-12-00298
更新日期：2013-02-01 00:00:00
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journal_title：Military medicine
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journal_title：Military medicine
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doi：
更新日期：1990-05-01 00:00:00
