Clinical applicaton of carotid endarterectomy
- VernacularTitle:颈动脉内膜剥脱术的临床应用
- Author:
Xuedong CHEN
;
Yuhong WANG
;
- Publication Type:Journal Article
- Keywords:
CEREBRAL ISCHEMIA,TRANSIENT/surg;
CAROTID ARCERY/surg;
CAROTIO ENDARTERECTOMY
- From:
Chinese Journal of General Surgery
1997;0(06):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the indications of carotid endarterectomy(CEA) and perioperative managements . Methods The clinical data of 11 patients with transient ischemia attack (TIA) and carotid artery stenosis who underwent CEA were reviewed retrospectively. Results After CEA, the TIA symptoms disappeared in all patients, and the chronic symptoms of cerebral ischemia had obvious improvement in 4 cases . There were no serious postoperative complications, such as cerebral hemorrhage, hemiplegia, etc. Conclusions CEA may be considered when one or both sides of carotid stenosis more than 50% is discovered by Duplex scanning, digital subtraction angiography or MRA in patients with TIA. Stage operation for bilateral carotid occlusive lesion is safer. Paying attention to perioperative managements is important for reducing operative complications.
