Carotid endarterectomy under regional anesthesia: follow-up of 104 patients

Arquivos de neuro-psiquiatria
Jair RasoGustavo Agra Cariri

Abstract

Cervical carotid stenosis is one of the main causes of ischemic stroke. Carotid endarterectomy is a safe procedure for treatment of moderate and severe symptomatic and asymptomatic carotid stenosis. Regional anesthesia allows neurological evaluation of the patient during the surgery. We reviewed the results of 104 patients operated on at our institution under regional anesthesia during the period of April 1996 and May 2002. 64 patients were symptomatic (61.54%) and 40 asymptomatic (38.46%). All patients had carotid stenosis over 70%. The patients were followed from one to 72 months (Mean: 29.5). Three patients had cervical hematoma, that required surgical drainage. Two patients had minor stroke at the same side of the endarterectomy at the post-operative period and another two during the follow-up (1.92%). Two patients died due to complications related to the surgery (1.92%). Our results, compared with the literature, show that endarterectomy is a safe procedure to treat moderate or severe carotid artery stenosis.

References

Aug 15, 1991·The New England Journal of Medicine·UNKNOWN North American Symptomatic Carotid Endarterectomy Trial CollaboratorsM Eliasziw
Mar 1, 1987·Neurosurgery·C M Loftus, D O Quest
Nov 28, 2001·São Paulo Medical Journal = Revista Paulista De Medicina·E Toledo de AguiarG Schreen
Oct 23, 2002·Annals of Vascular Surgery·Benoît Cartier
Nov 7, 2002·Archives of Surgery·Jihad R SalamehDipankar Mukherjee
Jun 14, 2003·Stroke; a Journal of Cerebral Circulation·Paul E NormanMichael Lawrence-Brown

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Citations

Nov 5, 2010·Arquivos de neuro-psiquiatria·Jair Leopoldo RasoLeopoldo Mandic Ferreira Furtado

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