KẾT QUẢ SỚM PHẪU THUẬT BÓC NỘI MẠC ĐỘNG MẠCH CẢNH ĐIỀU TRỊ HẸP ĐỘNG MẠCH CẢNH TRONG DO XƠ VỮA TẠI BỆNH VIỆN BẠCH MAI

Abstract

Background: The internal carotid artery stenosis is one of the main cause of ischemic stroke. Carotid endarterectomy for treatment of carotid artery stenosis is a proven to help reduce the rate of ischemic stroke. Objectives: Evaluate early outcomes of carotid endarterectomy for treatment internal carotid artery stenosis causing by atherosclerosis at Bach mai hospital. Subjects and methods: All patients undergoing carotid endarterectomy at Department of Thoracic and Vascular Surgery, Bach Mai Hospital from 1/2022 to 9/2023. Retrospective case series. Results: 104 patients, including 87 men (83.7%) and 17 women (16.3%), the average age is 69.1±8.3, 68 patients (65.4%) were symptomatic, 7 patients had carotid endarterectomy 2 times. Conventional endarterectomy with PTFE patch in 39 arteries (34.1%), eversion carotid endarterectomy in 72 arteries (65.9%). 100% of patients had patent carotid artery, no residual stenosis. There were 2 deaths (1.9%) of which, one case: cerebral hemorrhage, one case: traffic accident. The rate of 30 days stroke was 2.8%. Conclusion: Carotid endarterectomy is a safe and effective method for treatment of carotid artery stenosis causing by atherosclerosis.