Document Detail


A short incision for carotid endarterectomy results in decreased morbidity.
MedLine Citation:
PMID:  17336106     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To investigate the effect of a short incision (<5 cm) on the complication rate of the carotid endarterectomy (CEA). DESIGN: A retrospective cohort study. PATIENTS AND METHODS: From January 1994 to December 2005, 874 patients underwent 1048 primary carotid endarterectomy (CEA) procedures. Seven hundred and sixty nine operations were performed through a long neck incision (group A), while 279 were performed through a smaller incision (<5 cm) according to a standard protocol (group B). Preoperative and postoperative cranial nerve assessment was completed on all patients. The main outcome measures were stroke, death, cranial and cervical nerve injuries rates. RESULTS: The 30-day mortality rate was 0.26% in group A and 0.35% in group B (p=.792). The stroke rate was 0.13% and 0% in group A and B respectively (p=.839). The mean length of stay was 2.59 days in group A and 1.67 days in group B (p<.0001). In group A the overall incidence of motor and sensory nerve deficits was 13.5% (104 CEA, 92 patients) but in group B 2.9% (8 CEA, 7 patients, p<.0001, odds ratio [OR] 0.189, 95% confidence interval [CI] 0.091-0.393). CONCLUSIONS: Carotid endarterectomy through a small incision is a feasible and safe approach that provides cosmetic results and fewer nerve complications without compromising the safety of the procedure.
Authors:
E Bastounis; C Bakoyiannis; C Cagiannos; C Klonaris; C Filis; E E Bastouni; S Georgopoulos
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Publication Detail:
Type:  Journal Article     Date:  2007-03-01
Journal Detail:
Title:  European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery     Volume:  33     ISSN:  1078-5884     ISO Abbreviation:  Eur J Vasc Endovasc Surg     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-05-07     Completed Date:  2007-07-10     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9512728     Medline TA:  Eur J Vasc Endovasc Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  652-6     Citation Subset:  IM    
Affiliation:
First Department of Surgery, University of Athens Medical School, Laiko General Hospital, Athens, Greece.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Angiography
Carotid Stenosis / radiography,  surgery*,  ultrasonography
Cranial Nerve Injuries / epidemiology*
Endarterectomy, Carotid / methods*
Female
Follow-Up Studies
Greece / epidemiology
Humans
Length of Stay / trends
Male
Middle Aged
Morbidity / trends
Neck
Postoperative Complications / epidemiology
Prognosis
Retrospective Studies
Skin / surgery*
Stroke / epidemiology*,  prevention & control
Survival Rate / trends

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


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