Application of carotid endarterectomy in the treatment of patients with bilateral moderate to severe carotid stenosis / 中国医学科学院学报
Acta Academiae Medicinae Sinicae
;
(6): 565-568, 2010.
Article
in Chinese
| WPRIM
| ID: wpr-322731
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the application of carotid endarterectomy (CEA) in the treatment of patients with bilateral moderate to severe carotid stenosis.</p><p><b>METHODS</b>We retrospectively analyzed the clinical data of 82 patients with bilateral moderate to severe carotid stenosis who were admitted to our hospital from January 2006 to December 2009. Of these patients, 64 underwent ipsilateral CEA and 18 underwent bilateral CEA.</p><p><b>RESULTS</b>A total of 100 endarterectomies including 92 patching and 94 carotid shunt were performed. Seventy-six patients smoothly recovered from the surgery. Two patients suffered from cardiac ischemia and infarction and one died of massive cerebral infarction. Three patients presented with hyperperfusion syndrome,and one of them developed cerebral hemorrhage. Of 79 patients who were followed up regularly, 76 (96.2%) had no cerebral ischemia relevant to the operated carotid artery,one developed mild re-stenosis, and 2 suffered from neurological dysfunction.</p><p><b>CONCLUSION</b>CEA should be performed in patients with bilateral moderate to severe carotid stenosis once the indication is confirmed.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
General Surgery
/
Retrospective Studies
/
Follow-Up Studies
/
Endarterectomy, Carotid
/
Carotid Stenosis
Type of study:
Observational study
/
Prognostic study
Limits:
Aged
/
Aged80
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Acta Academiae Medicinae Sinicae
Year:
2010
Type:
Article
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