{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:53:23Z","timestamp":1777942403033,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2009,7,23]],"date-time":"2009-07-23T00:00:00Z","timestamp":1248307200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vasc Endovascular Surg"],"published-print":{"date-parts":[[2009,8]]},"abstract":"<jats:p>We reviewed our experience with urgent carotid intervention in the setting of acute neurological deficits. Between June 1992 and August 2008, a total of 3145 carotid endarterectomies (CEA) were performed. Twenty-seven patients (&lt;1.0%) were categorized as urgent. The mean age was 74.1 years (range 56-93 years) with 16 (60%) men, and 11 (40%) women, Symptoms included extremity weakness or paralysis (n = 13), amaurosis fugax (n = 6), speech difficulty (n = 2), and syncope, (n = 3). Three patients exhibited a combination of these symptoms. Three open thrombectomy were performed. Regional anesthesia was used in 13 patients (52%). Seventeen patients (67%), required shunt placement. At 30-days, 2 patient (7%) suffered a stroke, and 1 (4%) died. Urgent CEA can be performed safely. A stroke rate of 7% is acceptable in those who may otherwise suffer a dismal outcome without intervention.<\/jats:p>","DOI":"10.1177\/1538574409335276","type":"journal-article","created":{"date-parts":[[2009,7,23]],"date-time":"2009-07-23T20:33:43Z","timestamp":1248381223000},"page":"364-369","source":"Crossref","is-referenced-by-count":14,"title":["Outcome of Carotid Endarterectomy for Acute Neurological Deficit"],"prefix":"10.1177","volume":"43","author":[{"given":"Firas F.","family":"Mussa","sequence":"first","affiliation":[{"name":"Division of Vascular and Endovascular Surgery, New York University School of Medicine, New York,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"Aaronson","sequence":"additional","affiliation":[{"name":"Division of Vascular and Endovascular Surgery, New York University School of Medicine, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick J.","family":"Lamparello","sequence":"additional","affiliation":[{"name":"Division of Vascular and Endovascular Surgery, New York University School of Medicine, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas S.","family":"Maldonado","sequence":"additional","affiliation":[{"name":"Division of Vascular and Endovascular Surgery, New York University School of Medicine, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neal S.","family":"Cayne","sequence":"additional","affiliation":[{"name":"Division of Vascular and Endovascular Surgery, New York University School of Medicine, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark A.","family":"Adelman","sequence":"additional","affiliation":[{"name":"Division of Vascular and Endovascular Surgery, New York University School of Medicine, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas S.","family":"Riles","sequence":"additional","affiliation":[{"name":"Division of Vascular and Endovascular Surgery, New York University School of Medicine, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caron B.","family":"Rockman","sequence":"additional","affiliation":[{"name":"Division of Vascular and Endovascular Surgery, New York University School of Medicine, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2009,7,23]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(07)70274-0"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(04)15785-1"},{"issue":"12","key":"atypb3","first-page":"1889","volume":"209","author":"Blaisdell WF","year":"1969","journal-title":"A review of surgical considerations. 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