Retrospective Evaluation of 85 Patients with Carotid Endarterectomy: Results of Different Techniques
Journal Title: E Journal of Cardiovascular Medicine - Year 2020, Vol 8, Issue 4
Abstract
Objectives: Carotid endarterectomy (CEA) is a safe and effective surgical technique that prevents stroke in symptomatic and asymptomatic patients with severe internal carotid artery (ICA) stenosis. However, this surgical procedure is associated with a perioperative stroke risk of 2-7.5%. In this study, we examined the characteristics and early results of patients who underwent surgery for carotid artery stenosis in light of the current literature. Materials and Methods: We retrospectively evaluated the data of patients who were diagnosed with symptomatic and asymptomatic ICA stenosis between January 2019 and January 2020 and underwent CEA in our hospital. A total of 85 patients were included in the study. Results: The mean age of the patients was 67±8.2 years and 72.9% of the patients were male. The most common accompanying risk factors were smoking (64.7%) and hypertension (61.1%). Majority of patients had CEA for symptomatic carotid disease. One patient (1.1%) developed temporary hemiparesis. One patient (1.1%) developed transient ischemic attack. Six patients (7%) developed a postoperative hematoma and subsequently required revision. There was no mortality associated with the procedure. Conclusion: Carotid artery surgery is a reliable method with low mortality and morbidity rates especially in those centers with high numbers and experienced surgical teams. A team approach including anesthetists, neurologists and interventional radiologists or interventional vascular surgeons is the key to critical decision making and the success.
Authors and Affiliations
Cihan Yücel, Serkan Ketenciler, Melek Yılmaz, Nihan Kayalar
Keywords
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- EP ID EP691462
- DOI 10.32596/ejcm.galenos.2020.05.026
- Views 98
- Downloads 0
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