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Date Published: 12/09/2024
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DOI: https://doi.org/10.51298/vmj.v542i1.10982
Issue
Vol. 542 No. 1 (2024)
Section
Các bài báo
How to Cite
Lâm, V. N., & Phan, Q. C. (2024). REVIEW OF HIGH RISK FACTORS IN CAROTID ENDARTERECTOMY. Vietnam Medical Journal, 542(1). https://doi.org/10.51298/vmj.v542i1.10982

REVIEW OF HIGH RISK FACTORS IN CAROTID ENDARTERECTOMY

Văn Nút Lâm, Quốc Cường Phan

Main Article Content

Abstract

Introduction: Currently, there is still much debate about which factors should be considered as high-risk factors in carotid endarterectomy as well as the choice of treatment method. Objective: Evaluate treatment results and the role of high-risk factors in carotid endarterectomy (CEA). Patients and methods: A retrospective descriptive case series was conducted from January 2020 to December 2022 at the Vascular Surgery Department of Chợ Rẫy Hospital. Results: During the period from 2020 to 2022, we performed 30 cases CEA for patients with high risk factors. Among them: occlusion of the contralateral side (76.7%), age ≥ 80 (16.7%), 13.3% of patients having one high-risk factor of age ≥ 80, 6.7% having one high-risk factor of severe COPD ; additionally, one patient, accounting for 3.3%, had two high-risk factors of age ≥ 80 and COPD. Early results showed one case of cerebrovascular accident, with a surgical success rate of 96.7%. No complications were recorded during mid-term follow-up. Conclusion: Carotid endarterectomy has shown positive results and is a treatment method that can be considered in patients with high risk factors for surgery in experienced centers.

Article Details

Keywords

carotid artery stenosis, high-risk factors

References

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