Carotid endarterectomy: surgical prophylaxis for stroke

ABSTRACT

An experience of 28 carotid endarterctomy patients is being presented. Of these 18 were males and 10 females. Their ages ranged from 43-85 years, the mean age being 68.5 years. Twenty four patients presented with transient ischemic attacks, two had transient monocular blindness while the remaining two had partial stroke. All patients had colour duplex ultrasonography of their internal carotid arteries done pre-operatively which revealed 70-90% stenosis in their proximal part. Twenty seven patients had unilateral disease for which carotid endarterectomy was performed. The remaining one patient had bilateral carotid stenosis along with coronary artery disease. He underwent bilateral carotid endarterectomy and coronary artery bypass graft, all at the same time. Two patients developed venous bleeds postoperatively and one a partial stroke with complete recovery. There was no major stroke or death in this series