Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 17 de 17
Filter
1.
Rev. bras. cir. cardiovasc ; 34(6): 653-658, Nov.-Dec. 2019. tab, graf
Article in English | LILACS | ID: biblio-1057501

ABSTRACT

Abstract Objective: To evaluate the predictive accuracy of SYNTAX score (SS) I and II for detecting significant carotid artery stenosis (CAS) in patients with multivessel coronary artery disease undergoing coronary artery bypass grafting (CABG) surgery. Methods: The study population consisted of 416 patients. Clinical, demographic, and radiological records were retrospectively reviewed. Characteristics of patients with CAS (n=66) and patients without CAS (n=350) were compared before and after propensity score matching analysis. Results: Patients with significant CAS were older compared to those without significant CAS [(60 (53-65) vs. 63 (59-67); P=0.01]. However, atherosclerotic risk factors and SS I were similar between groups. SS II CABG and percutaneous coronary intervention (PCI) were significantly higher in patients with CAS [37.4 (30.9-43.5) vs. 33.8 (29.9-38.9); P=0.02]. After propensity score matching analysis (66 vs. 66), age, SS II PCI and CABG were significantly higher in patients with CAS than those without CAS [37.4 (30.9-43.5) vs. 33 (29.3-36.9); P=0.03]. Age, SS II PCI and CABG were associated with CAS in logistic regression analysis [OR=1.086, 95% CI (1.032-1.143), P<0.001; OR=1.054, 95% CI (1.010-1.101), P=0.02; OR=1.078, 95% CI (1.029-1.129), P<0.01]. In ROC curve analysis, SS II PCI >33.1 had 68.2% sensitivity and 54.6% specificity [AUC=0.624, P=0.01, 95% CI (0.536-0.707)] whereas SS II CABG >26.1 had 81.8% sensitivity and 54.6% specificity [AUC=0.670, P<0.01, 95% CI (0.583-0.749)] to predict CAS. Pairwise comparison of ROC curves revealed similar statistical accuracy for prediction of CAS (z statistic: 0.683, P=0.49) Conclusion: SS II is useful to predict asymptomatic CAS in patients with multivessel coronary artery disease.


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Coronary Artery Disease/complications , Carotid Stenosis/diagnosis , Carotid Stenosis/etiology , Coronary Artery Disease/surgery , Body Mass Index , Coronary Artery Bypass , Risk Factors , ROC Curve , Sensitivity and Specificity , Percutaneous Coronary Intervention
2.
Rev. bras. cir. cardiovasc ; 34(5): 550-559, Sept.-Oct. 2019. tab
Article in English | LILACS | ID: biblio-1042035

ABSTRACT

Abstract Introduction: Many publications on coronary surgery and carotid stenosis (CS) can be found, but we do not have enough information about the relationship between ischemic stroke, CS and non-coronary cardiac surgery. Objectives: To evaluate the incidence and risk factors associated with the stroke and CS ≥50% in patients undergoing non-coronary surgeries. Objectives: We assessed 241 patients, aged 40 years or older, between 2009 and 2016, operated in Santa Casa de Misericórdia de Ponta Grossa-PR, Brazil. We perform carotid Doppler in patients 40 years of age or older before any cardiac surgery as a routine. The incidence and possible risk factors for CS ≥50% and perioperative stroke were analyzed by univariate statistical analysis. Results: 11 patients (4.56%) presented perioperative stroke. The risk factor for stroke was CS ≥50%: OR=5.3750 (1.2909-22.3805), P=0.0208. Eighteen patients (7.46%) had CS ≥50% and their risk factors were extracardiac arteriopathy: OR=18.6607 (6.3644-54.7143), P<0.0001; COPD: OR=3.9040 (1.4491-10.5179), P=0.0071; diabetes mellitus: OR=2.9844 (1.0453-8.5204), P=0.0411; recent myocardial infarction: OR=13.8125 (1.8239-104.6052), P=0.0110; EuroSCORE II higher P=0.0056. Conclusion: The incidences of stroke and CS ≥50% were 4.56% and 7.46%, respectively. The risk factor for stroke was CS ≥50% and for CS ≥50% were extracardiac arteriopathy, COPD, diabetes mellitus, recent myocardial infarction and higher EuroSCORE II.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Brain Ischemia/etiology , Brain Ischemia/epidemiology , Carotid Stenosis/etiology , Carotid Stenosis/epidemiology , Stroke/epidemiology , Cardiac Surgical Procedures/adverse effects , Reference Values , Brazil/epidemiology , Incidence , Prevalence , Retrospective Studies , Risk Factors , Age Distribution , Risk Assessment , Pulmonary Disease, Chronic Obstructive/complications , Pulmonary Disease, Chronic Obstructive/epidemiology , Diabetes Complications/epidemiology , Peripheral Arterial Disease/complications , Peripheral Arterial Disease/epidemiology , Myocardial Infarction/complications , Myocardial Infarction/epidemiology
3.
Rev. bras. cir. cardiovasc ; 34(5): 581-587, Sept.-Oct. 2019. tab, graf
Article in English | LILACS | ID: biblio-1042051

ABSTRACT

Abstract Objective: The aim of this study was to determine the prevalence and risk factors of carotid artery stenosis (CAS) using carotid duplex ultrasound in patients undergoing coronary artery bypass grafting (CABG). Methods: This retrospective study was conducted between January 2017 and January 2018 and included 166 consecutive patients [130 males (78.31%), 36 females (21.69%); mean age: 64.25±9.78 years] who underwent elective and isolated CABG. Patients who had significant CAS (≥50% stenosis) were compared with patients who had non-significant CAS (<50% stenosis). Logistic regression analysis was applied across the selected parameters to identify risk factors for significant CAS. Results: Of all patients, 36 (21.68%) had CAS ≥50% and 8 (4.81%) had unilateral carotid stenosis ≥70%. Carotid endarterectomy/CABG was performed simultaneously in five (3.01%) patients. None of these patients had cardiac and neurological problems during the postoperative period. The overall incidence of cerebrovascular accident (CVA) after CABG was 1.20% (n=2). Age (P=0.011) and history of CVA (P=0.035) were significantly higher in the CAS ≥50 group than in the CAS <50 group. Significant CAS was identified as a risk factor for postoperative CVA (P=0.013). Conclusion: Age and history of CVA were identified as risk factors for significant CAS. Furthermore, significant CAS was identified as a risk factor for postoperative CVA. For this reason, carotid screening is recommended for patients undergoing CABG even in the absence of associated risk factors.


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Coronary Artery Bypass/methods , Carotid Stenosis/diagnostic imaging , Ultrasonography, Doppler, Duplex/methods , Postoperative Complications/etiology , Time Factors , Severity of Illness Index , Logistic Models , Coronary Artery Bypass/adverse effects , Retrospective Studies , Risk Factors , Treatment Outcome , Endarterectomy, Carotid/adverse effects , Endarterectomy, Carotid/methods , Carotid Stenosis/etiology , Stroke/etiology , Preoperative Period
4.
Rev. Col. Bras. Cir ; 41(5): 311-318, Sep-Oct/2014. tab, graf
Article in English | LILACS | ID: lil-729957

ABSTRACT

Objective: To study the stenosis of the carotid arteries in patients with symptomatic peripheral arterial disease. Methods: we assessed 100 consecutive patients with symptomatic peripheral arterial disease in stages of intermittent claudication, rest pain or ulceration. Carotid stenosis was studied by echo-color-doppler, and considered significant when greater than or equal to 50%. We used univariate analysis to select potential predictors of carotid stenosis, later taken to multivariate analysis. Results: The prevalence of carotid stenosis was 84%, being significant in 40% and severe in 17%. The age range was 43-89 years (mean 69.78). Regarding gender, 61% were male and 39% female. Half of the patients had claudication and half had critical ischemia. Regarding risk factors, 86% of patients had hypertension, 66% exposure to smoke, 47% diabetes, 65% dyslipidemia, 24% coronary artery disease, 16% renal failure and 60% had family history of cardiovascular disease. In seven patients, there was a history of ischemic cerebrovascular symptoms in the carotid territory. The presence of cerebrovascular symptoms was statistically significant in influencing the degree of stenosis in the carotid arteries (p = 0.02 at overall assessment and p = 0.05 in the subgroups of significant and non-significant stenoses). Conclusion: the study of the carotid arteries by duplex scan examination is of paramount importance in the evaluation of patients with symptomatic peripheral arterial disease, and should be systematically conducted in the study of such patients. .


Objetivo: estudar estenose das artérias carótidas nos pacientes com doença arterial periférica sintomática. Métodos: avaliaram-se consecutivamente 100 portadores de doença arterial periférica sintomática, nos estágios de claudicação intermitente, dor em repouso ou lesão trófica. A estenose carotídea foi estudada pelo eco-color-doppler, sendo considerada significativa quando maior ou igual a 50%. A análise univariada foi utilizada para selecionar os potenciais preditores de estenose carotídea, levados posteriormente para análise multivariada. Resultados: a prevalência de estenose carotídea foi 84%, sendo significativa em 40% e acentuada em 17%. A idade variou de 43 a 89 anos (média de 69,78). Quanto ao sexo, 61% foram do sexo masculino e 39% do feminino. Metade dos pacientes da amostra era claudicante e metade tinha isquemia crítica. Quanto aos fatores de risco, 86% dos pacientes apresentaram hipertensão arterial sistêmica, 66% exposição ao fumo, 47% diabetes, 65% dislipidemia, 24% coronariopatia, 16% insuficiência renal e 60% história familiar positiva para doenças cardiovasculares. Em sete pacientes, havia história de alguma sintomatologia cérebro-vascular isquêmica no território carotídeo. A presença de sintomatologia cérebro-vascular mostrou-se estatisticamente significativa para influenciar o grau de estenose nas artérias carótidas (p=0,02 na avaliação global e p=0,05 nos subgrupos de estenoses significativas e não significativas). Conclusão: o estudo das artérias carótidas através do exame de duplex-scan é de suma importância na avaliação dos pacientes portadores de doença arterial periférica sintomática, devendo-se realizar o estudo de forma sistemática nos pacientes. .


Subject(s)
Humans , Male , Female , Adult , Aged , Aged, 80 and over , Carotid Stenosis/etiology , Peripheral Arterial Disease/complications , Severity of Illness Index , Prospective Studies , Middle Aged
6.
Clinics ; 67(8): 865-870, Aug. 2012. tab
Article in English | LILACS | ID: lil-647787

ABSTRACT

OBJECTIVE: Prevention is the best treatment for cerebrovascular disease, which is why early diagnosis and the immediate treatment of carotid stenosis contribute significantly to reducing the incidence of stroke. Given its silent nature, 80% of stroke cases occur in asymptomatic individuals, emphasizing the importance of screening individuals with carotid stenosis and identifying high-risk groups for the disease. The aim of this study was to determine the prevalence and the most frequent risk factors for carotid stenosis. METHODS: A transversal study was conducted in the form of a stroke prevention campaign held on three nonconsecutive Saturdays. During the sessions, carotid stenosis diagnostic procedures were performed for 500 individuals aged 60 years or older who had systemic arterial hypertension and/or diabetes mellitus and/or coronary heart disease and/or a family history of stroke. RESULTS: The prevalence of carotid stenosis in the population studied was 7.4%, and the most frequent risk factors identified were mean age of 70 years, carotid bruit, peripheral obstructive arterial disease, coronary insufficiency and smoking. Independent predictive factors of carotid stenosis include the presence of carotid bruit or peripheral obstructive heart disease and/or coronary insufficiency. CONCLUSIONS: The population with peripheral obstructive heart disease and carotid bruit should undergo routine screening for carotid stenosis.


Subject(s)
Aged , Aged, 80 and over , Female , Humans , Male , Carotid Stenosis/epidemiology , Age Distribution , Age Factors , Brazil/epidemiology , Carotid Stenosis/etiology , Carotid Stenosis , Epidemiologic Methods
7.
J. vasc. bras ; 10(1): 3-8, mar. 2011. ilus, tab
Article in Portuguese | LILACS | ID: lil-587787

ABSTRACT

CONTEXTO: O tratamento cirúrgico da reestenose carotídea apresenta alta taxa de lesão neurológica. Contrariamente, o tratamento endovascular da doença obstrutiva carotídea extracraniana tem se tornado mais factível e gradualmente menores taxas de risco cirúrgico vêm sendo reportadas, tornando-se uma opção em situações especiais, e provavelmente poderá ser considerado o tratamento padrão para reestenose carotídea. OBJETIVOS: Avaliar a aplicabilidade, a segurança e a eficácia da angioplastia com o uso do stent (ACS) no tratamento da reestenose carotídea (REC) no intraoperatório e no pós-operatório recente (<30 dias). MÉTODOS: Análise retrospectiva dos pacientes portadores de reestenose carotídea submetidos à angioplastia com stent no período de março 2000 a junho de 2004. RESULTADOS: Foram analisados 19 pacientes com reestenose carotídea. Quatorze pacientes (74 por cento) eram do sexo masculino, com média de idade de 74 anos. Quinze (79 por cento) eram assintomáticos com estenose >80 por cento, enquanto quatro (21 por cento) eram sintomáticos com estenose >70 por cento. Apenas em um paciente não foi utilizado sistema de proteção cerebral. O sucesso técnico foi obtido em todos os casos. Não houve morte ou acidente vascular encefálico no intra ou no pós-operatório recente (30 dias). CONCLUSÃO: O tratamento endovascular da reestenose carotídea mostrou-se uma abordagem factível e segura em curto prazo.


CONTEXT: The surgical treatment of carotid artery restenosis presents a high risk of nerve injury. On the contrary, endovascular treatment for extracranial carotid artery obstructive disease has become more feasible. Gradually, lower rates of surgical risk have been reported, which makes the treatment a good option in special situations. It may be considered as the standard treatment for carotid artery restenosis. OBJECTIVE: To evaluate the applicability, safety, and efficacy of the angioplasty with the use of a stent (Carotid Artery Stenting - CAS) for the treatment of carotid artery restenosis, in the intraoperative and early (<30 days) postoperative period. METHODS: Retrospective analysis of patients with carotid artery restenosis who have undergone stenting angioplasty from March 2000 to June 2004. RESULTS: Nineteen patients with carotid artery restenosis were analyzed. Fourteen (74 percent) patients were male, with a mean age of 74 years. Fifteen (79 percent) patients were asymptomatic, with stenosis >80 percent, whereas 4 (21 percent) were symptomatic with stenosis >70 percent. In only one patient a cerebral protection system was not used. Technical success was achieved in all cases. There was no death or stroke in the intraoperative or the early postoperative period (30 days). CONCLUSION: Endovascular treatment of carotid artery restenosis seems to be a feasible and safe approach in the short term.


Subject(s)
Humans , Adult , Carotid Artery Diseases/surgery , Carotid Stenosis/etiology , Angioplasty, Balloon/methods
8.
Rev. Méd. Clín. Condes ; 20(3): 382-385, mayo 2009. ilus
Article in Spanish | LILACS | ID: lil-525318

ABSTRACT

Presentamos un caso clínico radiológico de un paciente joven, de 47 años, con una estenosis carotidea hipercrítica precoz, con una carótida única ya que previamente había ocluido su carótida contralateral. Revisamos imágenes de su evaluación diagnóstica radiológica y también de su tratamiento endovascular, haciendo una breve reseña del marco teórico diagnóstico de este caso.


We present a clinical radiological case report of a young patient 47 years of age with an early onset of a critical carotid artery stenosis, and a contralateral carotid occlusion. We review images of the different diagnostic radiological different diagnostic imaging tools available in the evaluation of such a patient.


Subject(s)
Humans , Male , Adult , Carotid Stenosis/surgery , Carotid Stenosis/diagnosis , Stents , Angioplasty , Cerebral Angiography , Carotid Stenosis/etiology , Cerebral Infarction/complications , Magnetic Resonance Imaging , Tomography, Emission-Computed, Single-Photon
9.
Arq. neuropsiquiatr ; 63(3A): 709-712, set. 2005. tab
Article in Portuguese | LILACS | ID: lil-409064

ABSTRACT

Com finalidade de orientar e oferecer subsídios para a conduta diagnóstica e terapêutica em diferentes situações dentro das doenças cerebrovasculares, a Sociedade Brasileira de Doenças Cerebrovasculares constituiu um comitê composto por especialistas de diferentes áreas do Brasil, que emitiram um parecer, denominado "Opinião Nacional", redigido nos moldes dos consensos. O presente artigo analisa a "Doença Carotídea na Fase Aguda do AVC", abordando separadamente os seguintes tópicos: métodos de detecção de estenose carotídea na fase aguda; quando e como intervir sobre a carótida na fase aguda; tratamento clínico e marcadores de inflamação. São apresentados os comentários, baseados na literatura e na opinião pessoal dos participantes, e é descrito, como conclusão em cada item, a opinião do grupo.


Subject(s)
Humans , Carotid Stenosis , Practice Guidelines as Topic , Stroke/complications , Acute Disease , Brazil , Consensus , Carotid Stenosis/diagnosis , Carotid Stenosis/etiology , Carotid Stenosis/therapy , Societies, Medical
10.
Arq. neuropsiquiatr ; 62(4): 1022-1026, dez. 2004. tab, graf
Article in Portuguese | LILACS | ID: lil-390688

ABSTRACT

Existem fortes evidências de menor incidência de doença cerebrovascular oclusiva, de aterosclerose coronariana e de outros vasos em indivíduos com consumo leve ou moderado de álcool. Este estudo procura analisar o efeito do etanol, em diferentes doses no comportamento da aterosclerose carotídea extracraniana. Através do ultrassom Doppler colorido, foram investigadas 328 artérias carótidas extracranianas, de homens e mulheres brancos, com mais de 35 anos de idade, normotensos, não tabagistas e sem as principais doenças que constituam fatores de risco para doenças cardiovasculares. Foram divididos de acordo com o consumo de álcool por semana (em mililitros) em abstêmios, etilistas leves (1 a 100), moderados (101 a 300) e pesados (301 ou mais). Houve menor incidência de placas de aterosclerose e de estenose naqueles que ingeriram moderada quantidade. CONCLUSAO: O estudo sugere uma ação protetora do álcool etílico para aterosclerose carotídea, quando ingerido em moderada quantidade.


Subject(s)
Adult , Middle Aged , Aged, 80 and over , Humans , Male , Female , Alcohol Drinking , Arteriosclerosis/etiology , Carotid Artery, External/drug effects , Carotid Stenosis/etiology , Ethanol/adverse effects , Alcoholic Beverages , Arteriosclerosis , Case-Control Studies , Carotid Artery, External , Carotid Stenosis , Prospective Studies , Risk Factors , Sex Distribution , Sex Factors , Ultrasonography, Doppler, Color
11.
Arq. neuropsiquiatr ; 62(3A): 613-617, set. 2004. tab
Article in English | LILACS | ID: lil-364980

ABSTRACT

OBJETIVO: avaliar a evolução espontânea da aterosclerose carotídea. MÉTODO: estudo prospectivo com pessoas de ambos os sexos, idade de 40 a 70 anos, sem sinais e sintomas de doença cerebrovascular e sem os principais fatores de risco para aterosclerose. Foram excluídos os doentes que estavam em uso ou os que, durante o período de acompanhamento, usaram medicações que potencialmente pudessem influir no curso espontâneo da aterosclerose. As avaliações da placa e do grau de estenose foram obtidas por ultrassonografia com Doppler (USG). Investigou-se separadamente a presença de placa e o grau de estenose. O seguimento foi feito por 36 meses, com exame clínico, neurológico e novo USG repetidos com intervalo de 6 a 8 meses. Completaram o estudo 96 indivíduos (48 mulheres) quanto à presença da placa e 52 (26 mulheres) quanto ao grau de estenose. RESULTADOS: Quanto ao grau de estenose, 25% dos indivíduos pioraram, 69% permaneceram estáveis e 6% melhoraram. Quando se considerou apenas a presença ou ausência da placa, 20% pioraram (desenvolveram placa durante o seguimento), 7% melhoraram (desaparecimento da placa) e 73% permaneceram estáveis. Não houve diferença em relação ao sexo. CONCLUSAO: Estes resultados confirmam as características dinâmicas da placa. Em indivíduos assintomáticos e sem tratamento específico, a melhora espontânea ocorre, porém é pequena. Estes dados podem contribuir para auxiliar na tomada de uma decisão, em doentes de alto risco.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Carotid Artery, External , Carotid Stenosis , Coronary Artery Disease , Arteriosclerosis , Carotid Stenosis/etiology , Carotid Stenosis/pathology , Stroke/etiology , Coronary Artery Disease/complications , Coronary Artery Disease/pathology , Disease Progression , Follow-Up Studies , Prospective Studies , Risk Factors , Ultrasonography, Doppler
12.
J. vasc. bras ; 3(1): 43-46, mar. 2004. ilus
Article in Portuguese | LILACS | ID: lil-396837

ABSTRACT

Os autores relatam um caso de pseudo-oclusão da artéria carótida interna direita diagnosticado no Serviço de Cirurgia Vascular do Hospital das Clínicas da Universidade Federal de Pernambuco. O paciente era sintomático, portador de estenose ateromatosa cerrada da artéria carótida interna direita e apresentava, ao exame arteriográfico, o string sign ou slim sign. Esse quadro é pouco descrito na literatura e apresenta morbidade e mortalidade elevadas. Os autores descrevem aspectos do seu diagnóstico, bem como sua evolução após a terapêutica cirúrgica empregada, e fazem uma revisão da literatura.


Subject(s)
Humans , Male , Aged , Carotid Artery, Internal/surgery , Carotid Artery, Internal/pathology , Carotid Stenosis/surgery , Carotid Stenosis/etiology , Angiography , Echocardiography, Doppler, Color
13.
Invest. clín ; 43(3): 183-190, sept. 2002.
Article in Spanish | LILACS | ID: lil-330969

ABSTRACT

Mucormycosis is an acute and often fatal infection caused by a fungus of the Mucorales order of the Zygomycetes class. There are various clinical types, usually associated with an underlying disorder. The rhinocerebral mucormycosis is usually seen in diabetics, especially in ketoacidosis, but may also appear in healthy people. We report three cases of mucormycosis diagnosed since april 1987 through january 2001 at the Dr. Domingo Luciani Hospital, Caracas, Venezuela. Two of them had diabetes and one was apparently healthy. The most common clinical presentation of mucormycosis was the rhinocerebral infection, seen in the two diabetic patients, both of them had cavernous sinus thrombosis one with involvement of the carotid artery. The other patient with sinus involvement had no predisposing factors. All patients were treated with amphotericin B and two of them had surgical debridement of involved tissue. We emphasize the importance of an early clinical diagnosis and treatment with surgical debridement of infected tissue combined with amphotericin B.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Paranasal Sinus Diseases/microbiology , Mucormycosis , Antifungal Agents/therapeutic use , Cavernous Sinus Thrombosis , Combined Modality Therapy , Diabetes Mellitus , Diagnosis, Differential , Disease Susceptibility , Cranial Nerve Diseases/etiology , Paranasal Sinus Diseases/complications , Paranasal Sinus Diseases/drug therapy , Paranasal Sinus Diseases/surgery , Carotid Stenosis/etiology , Eosinophilic Granuloma/diagnosis , Magnetic Resonance Imaging , Mucormycosis , Nose Neoplasms , Paresis , Retrospective Studies , Vision Disorders/etiology
14.
Neurol India ; 2001 Mar; 49(1): 87-90
Article in English | IMSEAR | ID: sea-121082

ABSTRACT

Carotid angioplasty and stenting is increasingly becoming a safe and efficacious modality of treatment in the management of carotid artery stenosis. Although atherosclerosis is the predominant cause of this morbid disease, Takayasu arteritis assumes special importance in south east Asia. The diffuse nature of this disease with associated inflammation and scarring of the vessel make revascularisation difficult. We report a case of Takayasu arteritis in which a successful bilateral common carotid stenting was done in a single sitting.


Subject(s)
Adult , Angioplasty , Carotid Stenosis/etiology , Female , Humans , Stents , Takayasu Arteritis/complications
15.
Rev. colomb. cardiol ; 7(2): 77-82, abr. 1999. ilus
Article in Spanish | LILACS | ID: lil-293774

ABSTRACT

Se presenta un estudio descriptivo de 22 casos de endarterectomía carotídea con anestesia local en la Fundación Santa Fe de Bogotá. Se analizan los resultados que muestran una aceptable morbilidad postoperatoria y ausencia de mortalidad relacionada con el procedimiento. En pacientes de alto riesgo quirúrgico y anestésico, esta técnica es sencilla de practicar y el manejo intra y postoperatorio no presenta mayores dificultades


Subject(s)
Humans , Arteriosclerosis/complications , Arteriosclerosis/etiology , Arteriosclerosis/physiopathology , Carotid Stenosis/surgery , Carotid Stenosis/diagnosis , Carotid Stenosis/etiology , Carotid Stenosis/physiopathology
17.
Revue Marocaine de Medecine et Sante. 1990; 12 (1): 67-72
in French | IMEMR | ID: emr-18335

ABSTRACT

Carotid endarterectomy is one of the most frequently operations performed on carotid atherosclerosis stenosis. Recurrent carotid stenosis is reported as varying from 16 to 22%. Two types of lesions are identified: fibromuscular hyperplasia and secondary atherosclerosis, occuring at variable date. Most of restenosis are asymptomatic. Non invasive techniques are now useful to their diagnosis: ultrasound, oculoplethysmography, carotid phono-angiography. Factors of restenosis remain unknown. Groups that are more likely to develop recurrent disease include women and patients in whom original disease developed at an early age. Patch angioplasty is the most performed technique in recurrent carotid stenosis


Subject(s)
Humans , Recurrence , Carotid Stenosis/diagnosis , Carotid Stenosis/etiology , Carotid Stenosis/therapy
SELECTION OF CITATIONS
SEARCH DETAIL