Clinical analysis of two carotid endarterectomy procedures in treating carotid artery stenosis.
- Author:
Yong-peng DIAO
1
;
Chang-wei LIU
1
;
Xiao-jun SONG
1
;
Yue-xin CHEN
1
;
Li-long GUO
1
;
Yue-hong ZHENG
1
;
Bao LIU
1
;
Wei YE
1
;
Xia LU
1
;
Yong-jun LI
1
Author Information
- Publication Type:Journal Article
- MeSH: Aged; Carotid Artery, Internal; surgery; Carotid Stenosis; surgery; Endarterectomy, Carotid; methods; Female; Humans; Male; Middle Aged; Retrospective Studies
- From: Acta Academiae Medicinae Sinicae 2014;36(2):131-134
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo analyze the effectiveness and costs of the eversion carotid endarterectomy (eCEA) and the carotid endarterectomy with patch angioplasty (pCEA) in treating carotid artery stenosis.
METHODSPatients with carotid artery stenosis who underwent the carotid endarterectomy in the vascular surgery department of Peking Union Medical College Hospital from October 2009 to October 2012 were enrolled in this study. According to the two different surgical procedures, the patients were divided into eCEA group and pCEA group.
RESULTSThe two groups were not significantly different in terms of gender ,age ,risk factors, stenosis degree of carotid artery, and the ratio of bilateral lesions (all P>0.05).The ratio of shunt and antibiotics application, operative time, hospitalization cost, and length of hospital stay in the eCEA group were significantly lower than those in pCEA group (P<0.05).The therapeutic effectiveness, complications, surgery-related death, restenosis, and ipsilateral stroke were not significantly different between these two groups (P>0.05).
CONCLUSIONBoth surgical procedures are safe and effective in treating the carotid artery stenosis;however, eCEA has lower cost when compared with pCEA and therefore can be used as the first choice.
