The Turkish Journal of Vascular Surgery

Yazarlar: Erdal ASLIM, Tankut Hakkı AKAY, İlknur AKKAYA

Konular:-

Anahtar Kelimeler:Carotid stenosis; carotid endarterectomy; anastomosis surgical; patch clamp techniques; postoperative complications

Özet: Objective: Carotid endarterectomy (CEA) is an effective treatment modality in reducing the risk of stroke in selected patients with carotid stenosis. Although primary repair and patch- plasty are popular surgical treatment options, eversion carotis endarterectomy can be safely used in experienced centers. In this prospective randomized study we aimed to compare eversion carotid endarterectomy and standart technique. Material and Methods: Between December 2007 and May 2009, 53 patients underwent carotid endarterectomy. Patients were randomized into two groups. Eversion endarterectomy was performed in 29 patients(Group A) and patchplasty was performed in 24 patients (Group B). Carotid clamp time, total operation time, postoperative complications, in- tensive care unit and hospital stay time were compared between the groups. All the operations we- re performed under regional anesthesia by the same surgical team. Results: The mean age was 70.3 ± 8.7 years. There was no difference in demographic parameters. The 48% of the patienst were symptomatic. Clamp time was significantly lower in eversion group (24.4 ± 3.4 minutes versus 31.3 ± 3.6 minutes (p= 0.0002)). There was no difference in intensive care unit and hospital stay time (1.14 ± 0.3 and 2.27± 0.4 minutes respectively). Conclusion: Eversion carotid endarterectomy helps the surgeons to avoid in using patch materials and patch related complications. The clamp time is shorter than the conventional procedure and it is more physiological. Therefore it can be used sa- fely in selected patients.

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