Document Detail


[Application of carotid endarterectomy in the treatment of patients with bilateral moderate to severe carotid stenosis].
MedLine Citation:
PMID:  21050563     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the application of carotid endarterectomy (CEA) in the treatment of patients with bilateral moderate to severe carotid stenosis.
METHODS: We retrospectively analyzed the clinical data of 82 patients with bilateral moderate to severe carotid stenosis who were admitted to our hospital from January 2006 to December 2009. Of these patients, 64 underwent ipsilateral CEA and 18 underwent bilateral CEA.
RESULTS: A total of 100 endarteretomies including 92 patching and 94 carotid shunt were performed. Seventy-six patients smoothly recovered from the surgery. Two patients suffered from cardiac ischemia and infarction and one died of massive cerebral infarction. Three patients presented with hyperperfusion syndrome,and one of them developed cerebral hemorrhage. Of 79 patients who were followed up regularly, 76 (96.2%) had no cerebral ischemia relevant to the operated carotid artery,one developed mild re-stenosis, and 2 suffered from neurological dysfunction.
CONCLUSION: CEA should be performed in patients with bilateral moderate to severe carotid stenosis once the indication is confirmed.
Authors:
Yu Chen; Wei-wei Wu; Bao Liu; Yong-jun Li; Yue-hong Zheng; Rong Zeng; Xiao-jun Song; Chang-wei Liu
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Publication Detail:
Type:  English Abstract; Journal Article    
Journal Detail:
Title:  Zhongguo yi xue ke xue yuan xue bao. Acta Academiae Medicinae Sinicae     Volume:  32     ISSN:  1000-503X     ISO Abbreviation:  Zhongguo Yi Xue Ke Xue Yuan Xue Bao     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-11-05     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8006230     Medline TA:  Zhongguo Yi Xue Ke Xue Yuan Xue Bao     Country:  China    
Other Details:
Languages:  chi     Pagination:  565-8     Citation Subset:  IM    
Affiliation:
Department of Vascular Surgery, PUMC Hospital, CAMS and PUMC, Beijing 100816, China.
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