Experiences of Garotid Endarterectomy for Extracranial Carotid Stenosis in Korea.
- Author:
Dong Ik KIM
1
;
Byung Boong LEE
;
Chin Sang CHUNG
;
Kwang Ho LEE
;
Yong Il KIM
;
Hyun Hahk KIM
Author Information
1. Department of Surgery, Samsung Medical Center, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Carotid;
Endarterectomy;
Stroke;
Stenosis
- MeSH:
Asian Continental Ancestry Group;
Atherosclerosis;
Carotid Stenosis*;
Constriction;
Constriction, Pathologic;
Delivery of Health Care;
Electroencephalography;
Endarterectomy*;
Endarterectomy, Carotid;
Female;
Humans;
Incidence;
Ischemic Attack, Transient;
Korea*;
Life Style;
Male;
Mortality;
Myocardial Infarction;
Phenobarbital;
Quality of Life;
Stroke;
Survivors;
Vocal Cord Paralysis
- From:Journal of the Korean Surgical Society
1997;52(4):580-587
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Strokes are responsible for major disability among its survivors, adding immense cost not only in terms of health care, but also in terms of the quality of life. The carotid endarterectomy to prevent strokes is commonly performed in Western countries. But in Asian countries, carotid endarterectomy is not commonly performed even on the symptomatic carotid stenosis patients. 26 male and 5 female patients undergoing carotid endarterectomy due to extracranial carotid stenosis from January 1995 through January 1996 were reviewed. The mean age was 67.2 +/- 6.6 years. 14 cases (45.2%) operated on right side and 17 cases (54.8%) operated on left side. The mean carotid stenosis according to luminal diameter reduction was 81.3 +/- 11.1%. Symptomatic cases, including transient ischemic attack, were 26 cases (83.9%) and five were asymptomatic cases (16.1%). Only two cases did not use carotid shunt during carotid clamping. Eight cases (25.8%) showed an abnormal intraoperative EEG pattern in the carotid shunting group. The average operation time was 173+/-36 minutes. The perioperative mortality was zero. Two postoperatively patients suffered from transient ischemic attack. One patient developed myocardial infarction. Vocal cord palsy developed in three patients. With the Westernization of Korean life style, the incidence of atherosclerosis disease has been on the rise. In this study, we report the experiences of 31 cases of carotid endarterectomy in our institute.
