Redo endarterectomy for recurrent carotid artery stenosis
| Autor: | Anthony M. Imparato, Patrick J. Lamparello, Gary Giangola, Paul J. Gagne, Thomas S. Riles, Ronnie Landis |
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| Rok vydání: | 1991 |
| Předmět: |
Carotid Artery Diseases
Male Reoperation medicine.medical_specialty Carotid arteries medicine.medical_treatment Constriction Pathologic Endarterectomy Asymptomatic Restenosis Risk Factors Humans Medicine Life Tables Registries Thrombus Stroke Aged business.industry Incidence (epidemiology) medicine.disease Surgery Stenosis Carotid Arteries Female Radiology medicine.symptom Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | European Journal of Vascular Surgery. 5:135-140 |
| ISSN: | 0950-821X |
| DOI: | 10.1016/s0950-821x(05)80677-2 |
| Popis: | From a registry of 2406 carotid endarterectomies performed on 1818 patients over a 19-year period, 29 patients (1.6%) underwent reoperations for recurrent stenosis. Reoperations were performed for symptomatic stenosis for 23 and asymptomatic greater than 80% stenosis for six patients. Compared to the entire series, there was no difference in the incidence of restenosis for men and women. The pathologic findings were myointimal hyperplasia in 27%, atherosclerosis in 53%, thrombus with vessel dilatation in 17% and extrinsic scar in 3%. Redo endarterectomy with patch angioplasty was used for reconstruction in 27 patients and patch angioplasty alone in two. There were no operative deaths or strokes. Late follow-up (mean 50 months) revealed only one stroke and six other deaths. Although 21 (75%) were alive and stroke-free, follow-up studies suggest a high incidence (21%) of tertiary lesions among patients who have undergone redo endarterectomy for recurrent stenosis. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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