Prevention and management of perioperative complications of carotid endarterectomy with 318 cases

VernacularTitle:颈动脉内膜剥脱术围手术期并发症的防治(附318例经验)
Author: Xueming CHEN ; Chenyu LI ; Hai FENG ; Hongzhi YU ; Renming ZHU ; Zhonghao WANG
Publication Type:Journal Article
Keywords: Endarterectomy,carotid/adverse effects; Carotid stenosis/surgery; Intraoperative period; Retrospective studies
From: Journal of Chinese Physician 2014;16(3):303-305
CountryChina
Language:Chinese
Abstract: Objective To introduce the experience of prophylaxis and management of the complications of carotid endarterectomy (CEA) during perioperative period because those complications can not be avoided yet.Methods During Oct 2000 to Jan 2013,318 patients were performed CEA.There were 213 men and 105 women with an average age of 74.8 years ranged from 48 to 85y.There were 186 patients in the left,120 patients in the right,and 12 patients in two sides.Simply,CEA are performed in 166 patients,CEA and patch in 140,and 12 patients were performed bypass with the autogenously great saphenous vein after the lesions removal.Results The perioperative complications were preoperative stroke in 3 cases,hypotension during operation in 16,after-operation deaths in 3,hyperperfusion syndrome in 18,postoperative severe cerebral infarction in 1,hoarseness in 14,and hematoma in 28.Conclusions Perioperative complications of CEA can be decreased by cautious surgical procedure and postoperative observation.