Diagnosis and surgical treatment of tight carotid stenosis / 中华外科杂志
Chinese Journal of Surgery
;
(12): 908-910, 2010.
Artigo
em Chinês
| WPRIM
| ID: wpr-270992
ABSTRACT
<p><b>OBJECTIVE</b>To explore the specialty of diagnosis and surgery of tight carotid stenosis.</p><p><b>METHOD</b>From January 2000 to December 2009, 53 patients with tight carotid stenosis (> 95%) were operated on. All 53 patients had tight carotid stenosis more than 95% on one side in whom 28 had contralateral carotid stenosis or occlusion. The clinical and imaging data as well as surgical outcomes of the patients were retrospectively analyzed.</p><p><b>RESULTS</b>Forty-five patients had postoperatively done well without any complications. There were 3 cases of hemodynamic instability and one case of cardiac ischemia which resolved in one to two days. One patient developed mild hoarseness. One complicated with bacteremia due to deep vein catheter insertion. Two patients experienced brain hemorrhage. None of this series occurred perioperative brain ischemia.</p><p><b>CONCLUSIONS</b>Tight carotid stenosis indicates a need for expeditious carotid endarterectomy with very low rates of brain ischemia. Intraoperative shunting is seldom necessary. Postoperative hyperperfusion syndrome and brain hemorrhage should be worried. Micro-endarterectomy can effectively prevent from restenosis.</p>
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Cirurgia Geral
/
Stents
/
Estudos Retrospectivos
/
Endarterectomia das Carótidas
/
Estenose das Carótidas
/
Diagnóstico
Tipo de estudo:
Estudo diagnóstico
/
Estudo observacional
Limite:
Adulto
/
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Chinês
Revista:
Chinese Journal of Surgery
Ano de publicação:
2010
Tipo de documento:
Artigo
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