Is it Necessary to Use an Intraluminal Shunt in Symptomatic Patients with Contralateral Carotid Artery Stenosis ?
Küçük Resim Yok
Tarih
2014
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Acta Medical Belgica
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Background : We aimed to investigate our results of carotid endarterectomy operations in symptomatic patients operated by using an intraluminal shunt and without use of an intraluminal shunt in patients with contralateral carotid artery stenosis. Methods : We reviewed the results of 144 carotid endarterectomy operations in patients with contralateral carotid artery stenosis from January 2007 to December 2012. These patients were allocated in 2 groups. Group 1 (n = 70) consisted of the patients operated by using an intraluminal shunt and Group 2 (n = 74) consisted of the patients operated without use of an intraluminal shunt. Postoperative neurologic complications were recorded. Results : Temporary neurologic impairment developed in 3 (4.3%) patients postoperatively in group 1 and in 2 (2.7%) patients postoperatively in group 2. This difference was not statistically significant between groups (p = 0.675). None of the patients returned to operation theatre due to excessive bleeding postoperatively. The stroke/death rate was 0.7% in the study group. Conclusions : We conclude that carotid endarterectomy in symptomatic patients with contralateral occlusion can be performed safely without the systematic use of a shunt. However, it is not possible to define exact indications for use of a shunt as we have no information on the reason why some surgeons used a shunt.
Açıklama
Anahtar Kelimeler
Randomized Controlled-Trial, Term-Follow-Up, Patch Angioplasty, Primary Closure, Saphenous-Vein, Endarterectomy, Polytetrafluoroethylene, Outcomes, Risk
Kaynak
Acta Chirurgica Belgica
WoS Q Değeri
Q4
Scopus Q Değeri
Q3
Cilt
114
Sayı
3
