CAROTID ENDARTERECTOMY: GUIDELINES VERSUS REAL-WORLD PRACTICE
| Autor: | Gabriela Teixeira, Pedro Sá Pinto, Ivone Silva, João Gonçalves, Sérgio Teixeira, Duarte Rego, Vítor Ferreira, Inês Antunes, Carlos Veiga, Daniel Mendes, Paulo Teles, Arlindo Matos, Rui Almeida |
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| Jazyk: | portugalština |
| Rok vydání: | 2019 |
| Předmět: | |
| Zdroj: | Angiologia e Cirurgia Vascular, Vol 15, Iss 2 (2019) |
| Druh dokumentu: | article |
| ISSN: | 1646-706X 2183-0096 |
| DOI: | 10.48750/acv.273 |
| Popis: | Introduction: A number of guidelines for the management of carotid disease are available to help clinicians in therapeutic decision and provide useful guidance for the best care of the patients. They stated that carotid endarterectomy (CEA) has some benefit in symptomatic patients with carotid stenosis of 50-69% and is highly beneficial in stenosis of 70-99%, with mortality/ stroke rate less than 6%. The maximum benefit is observed when surgery is performed within two weeks after the cerebrovascular event. CEA in asymptomatic patients should be offered to patients with life expectancy higher than 5 years, stenosis of >70%, and perioperative complications should be less than 3%. The aim of this study is to analyse our clinical practice, review treated patients and referral times and compare the outcomes of our institutional practice with published guidelines. Material and methods: Retrospective study of patients undergoing carotid endarterectomy at Centro Hospitalar Universitário do Porto between 2010 and 2015. Results: Between 2010 and 2015, 404 patients underwent CEA, 76% men, and mean age 69 years for both sexes. The degree of stenosis was usually evaluated by ultrasound. The use of complementary study with angio-CT was required in 20% and angiography in 2.2% of the cases. The majority of patients (54.2%) were symptomatic (stroke/ TIA |
| Databáze: | Directory of Open Access Journals |
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