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
Related Articles
- EP ID EP691462
- DOI 10.32596/ejcm.galenos.2020.05.026
- Views 95
- Downloads 0
Retrospective Analysis of the Experience in Diagnostics and Surgical Treatment of Rare Cardiac Tumors-Lipomas
The aim of this study is to determine the optimal treatment tactics for cardiac lipomas by performing a retrospective analysis of the features of the clinical course, diagnostics and specifics of surgery for this patholo...
Treatment Management in a Patient with Giant Ruptured Internal Iliac Artery Aneurysm
Occurrences of internal iliac artery aneurysms are rare cases. It is mostly seen in older men and is associated with other aortic aneurysms. Aneurysms can cause high mortality, such as rupture, if not diagnosed and treat...
Timing of Surgery and Clinical Outcomes of Isolated Right-heart Infective Endocarditis. A Single Center Experience
Objectives: Isolated infective endocarditis of the right heart is a rare clinical entity. I review our twelve-year experiences of the peri-operative features and surgical treatment of isolated right-sided infective endoc...
Successfully Managed Carotid Endarterectomy with Shunting Under Ultrasound Guided Carotid Sheath Block Combined with Superficial Cervical Plexus Block
Carotid endarterectomy (CEA) is the best treatment option in patients with high grade carotid artery stenosis. The assessment of patient’s consciousness in awake patient is still the gold standard for cerebral functions....
The Obesity Paradox Existing in Idiopathic Pulmonary Arterial Hypertension
Objectives: Our purpose was to evaluate the association between idiopathic pulmonary arterial hypertension (PAH) and obesity, as indicated by the body-mass index (BMI), in terms of the all-cause mortality in a group of p...