Document Detail


Postoperative internal carotid artery restenosis after local anesthesia: presence of risk factors versus intraoperative shunt.
MedLine Citation:
PMID:  20439301     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Published data suggest that the regional anesthetic technique used for carotid endarterectomy (CEA) increases the systolic arterial blood pressure and heart rate. At the same time local anesthesia reduced the shunt insertion rate. This study aimed to analyze risk factors and ischemic symptomatology in patients with postoperative internal carotid artery restenosis. The current retrospective study was undertaken to assess the results of CEA in 8000 patients who were operated during a five-year period in six regional cardiovascular centers. Carotid color coded flow imaging, medical history, clinical findings and atherosclerotic risk factors were analyzed. Among them, there were 33 patients (0.4%) with postoperative re-occlusion after CEA. The patients with restenosis were re-examined with carotid color coded flow imaging and data were compared with 33 consecutive patients with satisfactory postoperative findings to serve as a control group. In the restenosis group eight risk factors were analyzed (hypertension, smoking, hyperlipidemia, diabetes mellitus, history of stroke, transitory ischemic attack, heart attack and coronary disease), and compared with risk factors in control group. Study results suggested that early postoperative internal carotid artery restenosis was not caused by atherosclerosis risk factors but by intraoperative shunt usage.
Authors:
Narcis Hudorovic; Ivo Lovricevic; Hrvoje Hajnic; Zaky Ahel
Publication Detail:
Type:  Journal Article     Date:  2010-05-03
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  11     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-14     Completed Date:  2010-10-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  182-4     Citation Subset:  IM    
Affiliation:
Department of Vascular Surgery, University Hospital Sestre Milosrdnice, Vinogradska 29, 10000 Zagreb, Croatia. narcis.hudorovic@zg.htnet.hr
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Anesthesia, Local / adverse effects*
Carotid Artery, Internal / physiopathology,  surgery*,  ultrasonography
Carotid Stenosis / physiopathology,  surgery*,  ultrasonography
Chi-Square Distribution
Croatia
Endarterectomy, Carotid / adverse effects*
Female
Hemodynamics
Humans
Logistic Models
Male
Middle Aged
Recurrence
Retrospective Studies
Risk Assessment
Risk Factors
Time Factors
Treatment Outcome
Ultrasonography, Doppler, Color

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


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