Incidence and complication rate of infective endocarditis in the Dutch region of Walcheren

2006 ◽  
Vol 61 (2) ◽  
pp. 175-181 ◽  
Author(s):  
Jeroen WALPOT ◽  
Willem BLOK ◽  
Jan VAN ZWIENEN ◽  
Cees KLAZEN ◽  
Bram AMSEL
Keyword(s):  
Infective Endocarditis ◽  
Complication Rate

scholarly journals Effect of antibiotic treatment on vegetation size and complication rate in infective endocarditis

1997 ◽  
Vol 20 (2) ◽  
pp. 132-140 ◽  
Author(s):  
Sven Rohmann ◽  
Raimund Erbel ◽  
Harald Darius ◽  
Thomas Makowski ◽  
JÜRgen Meyer
Keyword(s):  
Infective Endocarditis ◽  
Antibiotic Treatment ◽  
Complication Rate

Relation between the presence of echocardiographic vegetations and the complication rate in infective endocarditis

1986 ◽  
Vol 112 (1) ◽  
pp. 107-113 ◽  
Author(s):  
Elizabeth M Lutas ◽  
Richard B Roberts ◽  
Richard B Devereux ◽  
Luz Marina Prieto
Keyword(s):  
Infective Endocarditis ◽  
Complication Rate

Outcome of carotid endarterectomy under local anaesthesia with respect to the patients’ risk profile

VASA ◽  
2009 ◽  
Vol 38 (3) ◽  
pp. 225-233 ◽  
Author(s):  
Aleksic ◽  
Luebke ◽  
Brunkwall
Keyword(s):  
Myocardial Infarction ◽  
High Risk ◽  
Carotid Endarterectomy ◽  
Complication Rate ◽  
Local Anaesthesia ◽  
High Risk Group ◽  
High Risk Patients ◽  
Hostile Neck ◽  
Risk Patients ◽  
Angioplasty And Stenting

Background: In the present study the perioperative complication rate is compared between high- and low-risk patients when carotid endarterectomy (CEA) is routinely performed under local anaesthesia (LA). Patients and methods: From January 2000 through June 2008 1220 consecutive patients underwent CEA under LA. High-risk patients fulfilled at least one of the following characteristics: ASA 4 classification, “hostile neck”, recurrent ICA stenosis, contralateral ICA occlusion, age ≥ 80 years. The combined complication rate comprised any new neurological deficit (TIA or stroke), myocardial infarction or death within 30 days after CEA, which was compared between patient groups. Results: Overall 309 patients (25%) were attributed to the high-risk group, which differed significantly regarding sex distribution (more males: 70% vs. 63%, p = 0,011), neurological presentation (more asymptomatic: 72% vs. 62%, p = 0,001) and shunt necessity (33% vs. 14%, p < 0,001). In 32 patients 17 TIAs and 15 strokes were observed. In 3 patients a myocardial infarction occurred. Death occurred in one patient following a stroke and in another patient following myocardial infarction, leading to a combined complication rate of 2,9% (35/1220). In the multivariate analysis only previous neurological symptomatology (OR 2,85, 95% CI 1,38-5,91) and intraoperative shunting (OR 5,57, 95% CI 2,69-11,55) were identified as independent risk factors for an increased combined complication rate. Conclusions: With the routine use of LA, CEA was not associated with worse outcome in high-risk patients. Considering the data reported in the literature, it does not appear justified to refer high-risk patients principally to carotid angioplasty and stenting (CAS) when LA can be chosen to perform CEA.

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