| Ring-stripping retrograde common carotid endarterectomy: case report. | |
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MedLine Citation:
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PMID: 12436153 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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CONTEXT: Total occlusion of the common carotid is rare and the indications and techniques for surgical treatment are still a matter of controversy. OBJECTIVE: To demonstrate the feasibility of retrograde common carotid endarterectomy. DESIGN: Retrospective case report study. SETTING: Tertiary care private hospital. PARTICIPANTS: Three patients underwent ring-stripping retrograde common carotid endarterectomy. Their ages were 81, 68 and 65 years. All were hypertensive with generalized atherosclerosis, two had diabetes mellitus, and one had undergone coronary artery bypass some years earlier and had non-dialytic chronic renal insufficiency. Symptoms of brain ischemia were present in two patients. All patients had total occlusion of the common carotid, extending from the origin to the bifurcation and localized in the right common carotid in two cases. In two cases the internal carotid artery was also occluded. MAIN MEASUREMENTS: Postoperative early mortality and stroke rate, and the medium and long-term endarterectomy patency. RESULTS: There were no deaths. One patient had a transient ischemic attack. All endarterectomies were patent after eight months, four years and seven years of follow-up. CONCLUSION: There is low mortality, and the procedure can be done through only one cervical incision. Tandem lesions of the carotid arteries can be treated together. It is suitable for long total occlusions of the common carotid, and long-term patency. |
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Authors:
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Eduardo Toledo de Aguiar; Alex Lederman; Patrícia Matsunaga |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: São Paulo medical journal = Revista paulista de medicina Volume: 120 ISSN: 1516-3180 ISO Abbreviation: Sao Paulo Med J Publication Date: 2002 Sep |
Date Detail:
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Created Date: 2002-11-18 Completed Date: 2002-12-20 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 100897261 Medline TA: Sao Paulo Med J Country: Brazil |
Other Details:
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Languages: eng Pagination: 154-7 Citation Subset: IM |
Affiliation:
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Departamento de Cirurgia, Faculdade de Medicina, Universidade de São Paulo, Brazil. etaguiar@usp.br |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Carotid Artery Diseases / surgery* Carotid Artery, Common / surgery* Endarterectomy, Carotid / methods* Feasibility Studies Female Humans Male Retrospective Studies Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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