Clinical analysis of 32 patients with symptomatic carotid stenosis treated by eversion carotid endarterectomy
10.3760/cma.j.issn.1673-4904.2009.23.010
- VernacularTitle:外翻式颈动脉内膜切除术治疗症状性颈动脉狭窄32例临床分析
- Author:
Liyong ZHANG
;
Chunxia WU
;
Lixin DU
;
Ming LV
;
Yuguang LIU
;
Jiyue WANG
;
Shigang ZHANG
;
Kai LIN
;
Weidong LIU
- Publication Type:Journal Article
- Keywords:
Endartorectomy,carotid;
Carotid stonosis;
Cerebrovaseular accident
- From:
Chinese Journal of Postgraduates of Medicine
2009;32(23):31-35
- CountryChina
- Language:Chinese
-
Abstract:
Objective To review the experience and early clinical results of eversion carotid endartotectomy (eCEA) in treatment of patients with symptomatic carotid stenosis. Methods eCEA were performed on 32 patients who suffered from the extracranial carotid stonosis. The treatment results were retrospectively reviewed. Results Thirty-two patients were successfully treated with eCEA. The symptom in 17 patients with transient ischemia attach (TIA) admitted to hospital did not recurrence, the other original symptoms of the patients had different degrees of improvement or disappeared. Two patients had TIA during 72 h after surgery, but 24 h repeatedly CTA examination without infarcts oecurring, and recovered after the treatment of small doses of urokinase. Two cases of severe swelling appeared tracheal shift incision, and went smoothly through edema by treatment of tracheal intubatian. In 4 patients headache reliefed in 2-3 d after medical treatment of the dehydration. Seven patients appeared different degree of hoarseness, and got recovery through neurotrophic medication for 1 month. No other serious complication occurred. Follow-up by 6 months, no CTA carotid artery stenosis appeared again. Conclusion eCEA is an effective method to treat symptomatic carotid stenosis.
