{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:11:24Z","timestamp":1777943484131,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2013,5,13]],"date-time":"2013-05-13T00:00:00Z","timestamp":1368403200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Vascular"],"published-print":{"date-parts":[[2013,10]]},"abstract":"<jats:p>This retrospective analysis aims to demonstrate the safety of carotid endarterectomy (CE) in patients &gt;75 years with particular attention paid to intraoperative hemodynamics. Four hundred and ninety-six consecutive patients with &gt;70% symptomatic and asymptomatic stenosis who underwent CE were prospectively assessed and divided into those &lt;75 years ( n = 408; mean 64 years) and those &gt;75 years ( n = 88; mean 78 years). Associated risk factors, hemodynamic parameters, surgical techniques and 30-day perioperative complications were compared. Carotid artery stump pressures of &lt;25 mmHg (13 versus 29%) and middle cerebral artery velocities of &lt;20 cm\/sec (46 versus 29%) were more common in those &gt;75 years ( P = 0.0001 and P &lt;0.005, respectively). However, there was no difference in the frequency of intraluminal shunt (34% in both groups) or synthetic patch usage (primary patching: 12.5%, older group versus 11%, younger group; secondary patching: 34% in both groups), and no difference in the combined 30-day stroke and death rates (3.4%, &gt;75 years versus 1.1%, &lt;75 years; P = 0.425). CE in this cohort of patients &gt;75 years was not associated with increased morbidity or mortality. Altered intraoperative hemodynamics were not associated with increased use of shunting or patching. This analysis supports CE as a safe procedure in the elderly.<\/jats:p>","DOI":"10.1177\/1708538113478740","type":"journal-article","created":{"date-parts":[[2013,9,25]],"date-time":"2013-09-25T06:40:13Z","timestamp":1380091213000},"page":"273-277","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Carotid endarterectomy in the elderly: risk factors, intraoperative carotid hemodynamics and short-term complications: a UK tertiary center retrospective analysis"],"prefix":"10.1177","volume":"21","author":[{"given":"H","family":"Sadideen","sequence":"first","affiliation":[{"name":"Department of Ultrasonic Angiology"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D R","family":"Thomson","sequence":"additional","affiliation":[{"name":"Department of Ultrasonic Angiology"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R 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