Carotid endarterectomy for patients with atherosclerotic occlusive diseases
- VernacularTitle:颈动脉内膜剥脱术治疗动脉粥样硬化性颈内动脉闭塞症
- Author:
Xiwei ZHANG
;
Hongyu YANG
;
Peng SUN
;
Junjie ZOU
;
Guoyu CHEN
- Publication Type:Journal Article
- Keywords:
Arterial occlusive diseases;
Endarterectomy, carotid;
Arteriosclerosis
- From:
Chinese Journal of General Surgery
2001;0(10):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate carotid endarterectomy for patients with atherosclerotic occlusive diseases. Method Surgical experience of endarterectomy in 32 patients with atherosclerotic occlusive diseases was retrospectively analyzed. Internal carotid artery stem pressure was measured during operation. Shunting was used routinely. Patching was used electively. Anti-platelet agents and agents reducing plasma fibrinogen were given perioperatively. Result There was no perioperative mortality, nor ischemic cerebral stroke. Patients were followed-up from 5 months to 20 months with no occurrence of ischemic cerebral stroke during the follow-up. One case presented dysfunction of hypoglossal nerve. Two cases presented dilation of carotid artery on ultrasound scan. There were no restenosis (≥50%) and thrombosis. Conclusion Carotid endarterectomy for patients with atherosclerotic occlusive diseases of carotid artery is effective and safe. Careful performance, shunting, patching and the correct order of clamps removing are the keys of preventing complications.
