Clinical Article
Clinical experience of carotid endarterectomy for the treatment of carotid stenosis
Yingwei Zhen, Yonggang Li, Shewei Guo, Guosheng Zhou, Bing Liu, Xinyu Yang, Wei Wei, Xianzhi Liu, Shuyuan Yue
Published 2019-02-28
Cite as Chin J Neurosurg, 2019, 35(2): 177-181. DOI: 10.3760/cma.j.issn.1001-2346.2019.02.016
Abstract
ObjectiveTo investigate the clinical outcomes and prognosis of carotid endarterectomy (CEA) for moderate to severe carotid stenosis.
MethodThe clinical data of 78 patients with moderate or severe carotid stenosis treated with CEA from March 2015 to December 2017 at Department of Neurosurgery, the First Affiliated Hospital of Zhengzhou University (18 cases) and Department of Neurosurgery, General Hospital of Tianjin Medical University (60 cases) were retrospectively analyzed. There were 72 cases of symptomatic stenosis, 6 cases of asymptomatic stenosis. Among them, there were 66 cases of unilateral stenosis and 12 cases of bilateral stenosis. All patients were treated with standard CEA. There were 72 cases of unilateral CEA and 6 cases of bilateral CEA. A total of 84 CEA operations were performed.
ResultsAll operations were performed successfully. The clamping duration was 18.0 to 52.0 minutes, with an average of 28.0±4.2 minutes. During perioperative period, there were 3 new cases of cerebral infarction, including 1 case of massive cerebral infarction and 1 case of transient ischemic attack. The incidence of cerebral ischemic events was 4.8% (4/84). No intracranial hemorrhage or death occurred after operation. All patients were followed up for 6.0 to 38.0 months, with an average of 18.0±3.2 months. There were 4 (4.8%) cases of restenosis (stenosis degree ≥50%) after operation, including 2 cases of cerebral infarction, 1 case of transient ischemic attack and 1 asymptomatic case.
ConclusionsCEA is an effective treatment for moderate to severe carotid stenosis. Standardized perioperative management and operative procedures could help to reduce postoperative complications and achieve good clinical results.
Key words:
Endarterectomy, cartoid; Carotid stenosis; Atherosclerosis; Complication
Contributor Information
Yingwei Zhen
Department of Neurosurgery, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
Yonggang Li
Department of Neurosurgery, Tianjin Medical University General Hospital, Tianjin 300052, China
Shewei Guo
Department of Neurosurgery, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
Guosheng Zhou
Department of Neurosurgery, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
Bing Liu
Department of Neurosurgery, Tianjin Medical University General Hospital, Tianjin 300052, China
Xinyu Yang
Department of Neurosurgery, Tianjin Medical University General Hospital, Tianjin 300052, China
Wei Wei
Department of Neurosurgery, Tianjin Medical University General Hospital, Tianjin 300052, China
Xianzhi Liu
Department of Neurosurgery, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
Shuyuan Yue
Department of Neurosurgery, Tianjin Medical University General Hospital, Tianjin 300052, China