Short non-patch arteriotomy in carotid endarterectomy
| Autor: | Angelica Dante, Marco Ventura, Giorgio Sbenaglia, Marco Leopardi, Annamaria Maggipinto |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Databases Factual Computed Tomography Angiography medicine.medical_treatment Ischemia Arteriotomy Carotid endarterectomy 030204 cardiovascular system & hematology 030230 surgery 03 medical and health sciences 0302 clinical medicine Postoperative Complications Restenosis Risk Factors medicine.artery medicine Humans Carotid Stenosis cardiovascular diseases Common carotid artery Stroke Cranial Nerve Injuries Aged Retrospective Studies Aged 80 and over Endarterectomy Carotid business.industry Middle Aged medicine.disease Surgery Survival Rate Stenosis Treatment Outcome Italy Ischemic Attack Transient cardiovascular system Female Stents Carotid stenting Cardiology and Cardiovascular Medicine business Carotid Artery Internal |
| Zdroj: | International angiology : a journal of the International Union of Angiology. 38(4) |
| ISSN: | 1827-1839 |
| Popis: | BACKGROUND Several techniques of carotid endarterectomy have been described and currently used in clinical practice. We describe and report the midterm results of short non-patch arteriotomy technique. METHODS We analyzed patients treated at our Department for carotid artery stenosis. Main outcomes were mortality, stroke, restenosis and local complications. The technique consists in a short longitudinal arteriotomy from common carotid artery to internal (ICA), followed by thromboendarterectomy in carotid bulb with a blunt spatula, cutting the more proximal edge of the plaque. A semi-eversion is then performed in the ICA to fully remove carotid plaque. RESULTS In the period between years 2011-2016 we performed 476 carotid endarterectomies of which 436 with short non-patch arteriotomy. Mean clamping time was 15.5±5.7 minutes. In-hospital complications were: three cases of stroke (0.7%), all with complete recovery, four transient cerebral ischemia (0.9%), 14 cervical hematomas (3.2%), and four cranial nerve injuries (0.9%), which was in all cases completely regressed. At two years, we report six cases of carotid restenosis (1.4%), all treated with carotid stenting. CONCLUSIONS Short non-patch carotid endarterectomy technique resulted in a low mid-term rates of stroke, restenosis, and cranial nerve injuries compared to other surgical series in the literature. |
| Databáze: | OpenAIRE |
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