C-reactive protein as the unfavorable prognostic factor in patients with multifocal atherosclerosis after carotid endarterectomy

A total of 54 patients who underwent reconstructive surgery on carotid arteries were examined in the study. One year after surgery, all patients were divided into two groups depending on their long-term outcomes: group 1 included patients with unfavorable prognosis (n=34; 62.9%); group 2 consisted of patients with favorable prognosis (n=20; 37.1%). In preoperative period, all patients were tested for serum levels of C-reactive protein. The study showed that patients who developed cardiovascular events such as stroke, transient ischemic attack, myocardial infarction, death, and aggravation or the first presentation of the clinical signs of ischemia in any vascular region during the first year after the surgery had significantly higher preoperative levels of C-reactive protein in serum.