Find in Library

<p><strong>Objective </strong>To analyze the influencing factors of early complications after carotid endarterectomy (CEA), in order to evaluate the early safety after CEA. <strong> Methods</strong> A total of 396 patients with carotid stenosis underwent 407 CEAs, and the complications within 30 d after CEA were analyzed. Univariate and backward multivariate Logistic regression analysis were used to evaluate the related risk factors for major adverse events within 30 d after CEA.  <strong>Results </strong> The success rate of 407 CEAs was 100%. Major complications within 30 d after CEA occurred in 18 cases (4.42%), including 5 cases (1.23%) of death, 8 cases (1.97% ) of ischemic stroke and 5 cases (1.23% ) of cerebral hemorrhage. Secondary complications occurred in 98 cases (24.08%). Logistic regression analysis revealed smoking (<em>P</em> = 0.039) and modified Rankin Scale (mRS) score on admission ≥ 3 (<em>P</em> = 0.001) were the independent risk factors for early adverse events (within 30 d) after CEA.  <strong>Conclusions </strong>CEA is a safe surgical method with a low incidence rate of postoperative complications, which could be decreased by improving surgical skills and gathering surgical experiences. Smoking and mRS score on admission ≥ 3 can increase the risk of CEA.</p><p> </p><p><strong>DOI: </strong>10.3969/j.issn.1672-6731.2015.04.009</p>