Application analysis of composite surgery in the treatment of chronic common carotid artery occlusion
10.3760/cma.j.cn115396-20240603-00169
- VernacularTitle:复合手术治疗慢性颈总动脉闭塞病变的应用分析
- Author:
Fei WANG
1
;
Zhongjian WU
;
Shengjia YANG
;
Zhu TONG
;
Shijun CUI
;
Yongquan GU
;
Lianrui GUO
Author Information
1. 首都医科大学宣武医院血管外科，北京 100053
- Keywords:
Cardiovascular surgical procedures;
Arterial occlusive diseases;
Carotid artery, common;
Composite surgery;
Effect
- From:
International Journal of Surgery
2024;51(7):481-485
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical effect of composite surgery in the treatment of chronic common carotid artery occlusion(CCAO).Methods:A retrospective descriptive study was conducted. The clinical data of 7 patients with CCAO admitted to Xuanwu Hospital, Capital Medical University from October 2020 to December 2023 were collected retrospectively. There were 6 males and 1 female. The age was (66.7±10.9) years, ranging from 52 to 83 years. Outpatient or telephone follow-up were conducted after surgery, carotid artery ultrasound or computed tomography angiography were performed at 3 months, 6 months, and 1 year postoperatively to determine vascular patency. The selection of surgical methods and clinical effect were analyzed. Normally distributed measurement data were expressed as mean±standard deviation ( ± s). The measurement data of skewed distribution were expressed by M ( Q1, Q3). Count data were expressed as frequency. Results:All 7 patients were diagnosed with chronic CCAO before operation, 6 on the left and 1 on the right. 3 cases affected the middle and distal segments of the common carotid artery, 1 case affected the proximal segment, and 1 case each affected the middle and distal segments, the remaining case involves the entire common carotid artery. All the procedures were successfully performed, among which 4 cases underwent carotid endarterectomy combined with stent placement, and 3 cases did not receive stent placement after carotid endarterectomy. 1 patient developed neck hematoma after surgery and the remaining patients recovered well after surgery without any complications or deaths. The follow-up time was 13.5(4.0, 20.5) months; 1 patient was lost to follow-up, and 6 patients received effective follow-up. the common carotid artery remained unobstructed in all 6 patients, and there were no transient ischemic attacks or strokes during the follow-up period.Conclusion:Composite surgery is a safe and feasible method that can be used to treat chronic CCAO lesions, and has satisfactory short-term results.
