Document Detail

Eversion carotid endarterectomy is associated with impaired postoperative hemodynamic stability compared with the conventional technique.
MedLine Citation:
PMID:  22728106     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Carotid endarterectomy is associated with a profound effect on blood pressure. The aim of this study was to evaluate 24-hour ambulatory blood pressure measurements (ABPMs) after eversion carotid endarterectomy (E-CEA) and conventional carotid endarterectomy (C-CEA).
METHODS: Seventy-one patients were included in this prospective study (E-CEA [37]/C-CEA [34]). Daytime (8 AM-10 PM) and nighttime (10 PM-8 AM) ABPMs were analyzed preoperatively and on postoperative days 1 and 3.
RESULTS: Patients' demographics and preoperative antihypertensive regimens were similar in the two groups. Compared with baseline, ABPM decreased on postoperative day 1 in the C-CEA group (P < 0.01) but normalized by day 3. By contrast, ABPM values were unchanged on day 1 in the E-CEA group but increased above baseline on day 3 (P < 0.01). E-CEA was associated with higher ABPM on day 1 (daytime: P < 0.001; nighttime: P < 0.01) and again on day 3 (daytime: P < 0.001; nighttime: P < 0.01). The use of vasodilators was more frequent in the E-CEA group, both in the recovery room (P = 0.007) and on the ward (P = 0.004).
CONCLUSION: E-CEA may be associated with higher postoperative blood pressure and the need for more additional antihypertensive therapy in the postoperative period compared with C-CEA.
Serdar Demirel; Nicolas Attigah; Hans Bruijnen; Maani Hakimi; Laura Macek; Dittmar Böckler
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Publication Detail:
Type:  Journal Article; Retracted Publication     Date:  2012-06-22
Journal Detail:
Title:  Annals of vascular surgery     Volume:  26     ISSN:  1615-5947     ISO Abbreviation:  Ann Vasc Surg     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-07-16     Completed Date:  2012-11-30     Revised Date:  2013-02-07    
Medline Journal Info:
Nlm Unique ID:  8703941     Medline TA:  Ann Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  755-65     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Annals of Vascular Surgery Inc. Published by Elsevier Inc. All rights reserved.
Department of Vascular and Endovascular Surgery, University Hospital of Ruprecht-Karls, Heidelberg, Germany.
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MeSH Terms
Antihypertensive Agents / therapeutic use
Blood Pressure
Blood Pressure Monitoring, Ambulatory
Carotid Artery, Internal / surgery*,  ultrasonography
Carotid Stenosis / surgery*,  ultrasonography
Endarterectomy, Carotid / adverse effects*,  methods*
Hemodynamics* / drug effects
Hypertension / diagnosis,  drug therapy,  etiology*,  physiopathology
Linear Models
Prospective Studies
Risk Assessment
Risk Factors
Time Factors
Treatment Outcome
Ultrasonography, Doppler, Color
Vasodilator Agents / therapeutic use
Reg. No./Substance:
0/Antihypertensive Agents; 0/Vasodilator Agents
Retraction In:
Ann Vasc Surg. 2013 Jan;27(1):129   [PMID:  23383420 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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