Article Sidebar
Views PDF: 114
RESULTS OF CAROTID ENDARTERECTOMY AT VIETDUC UNIVERSITY HOSPITAL DURING THE PERIOD 2018-2022
Main Article Content
Abstract
Purpose: The arm of this study is evaluating preliminary results of endarterectomy to treat atherosclerosis internal carotid artery stenosis at Viet Duc University Hospital during the period 2018–2022. Methods: This is a retrospective, descriptive, cross-sectional study of preoperative characteristics, techniques, and early results of internal carotid endarterectomy at Viet Duc Hospital in the period 2018–2022. Results: There were 36 patients included in this study, with 32 males and 4 females. The average age was 66.6 ± 6.9 years. Symptoms were present in 55.6% of patients. The eversion technique was used in 69.4% of patients, and the longitudinal arteriotomy was used in 30.6% of patients. There were no cases of bleeding (0%) that required reoperation. One patient had hoarseness, swallowing (2.8%) after surgery. There was no death or reoperation during the hospital stay. One patient died after 30 days of discharge (2.8%). Conclusion: Carotid endarterectomy at Viet Duc University Hospital is a safe and effective procedure to treat atherosclerosis carotid stenosis.
Article Details
References
2. Endarterectomy for Asymptomatic Carotid Artery Stenosis | JAMA | JAMA Network. Published June 28, 2022. Accessed June 28, 2022. https://jamanetwork.com/journals/jama/ article-abstract/388335
3. Bonati LH, Kakkos S, Berkefeld J, et al. European Stroke Organisation guideline on endarterectomy and stenting for carotid artery stenosis. Eur Stroke J. 2021;6(2):I-XLVII. doi:10.1177/23969873211012121
4. Halliday A, Bulbulia R, Bonati LH, et al. Second asymptomatic carotid surgery trial (ACST-2): a randomised comparison of carotid artery stenting versus carotid endarterectomy. Lancet. 2021;398(10305):1065-1073. doi:10.1016/S0140-6736(21)01910-3
5. Aboyans V, Ricco JB, Bartelink MLEL, et al. 2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS): Document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteriesEndorsed by: the European Stroke Organization (ESO)The Task Force for the Diagnosis and Treatment of Peripheral Arterial Diseases of the European Society of Cardiology (ESC) and of the European Society for Vascular Surgery (ESVS). European Heart Journal. 2018; 39(9):763-816. doi:10.1093/eurheartj/ehx095
6. Minh SK, Đức TLC, Danh PP, Công TN, Tuấn AV. Midterm results of Carotid endarterectomy at Dong Nai General Hospital. VJCTS. 2022;36:13-20. doi:10.47972/vjcts.v36i.734
7. Dharmasaroja PA, Uransilp N, Watcharakorn A, Piyabhan P. Accuracy of Carotid Duplex Criteria in Diagnosis of Significant Carotid Stenosis in Asian Patients. J Stroke Cerebrovasc Dis. 2018;27(3):778-782. doi:10. 1016/j.jstrokecerebrovasdis.2017.10.014
8. Nolz R, Wibmer A, Beitzke D, et al. Carotid artery stenting and follow-up: value of 64-MSCT angiography as complementary imaging method to color-coded duplex sonography. Eur J Radiol. 2012; 81(1): 89-94. doi:10.1016/ j.ejrad. 2010.12.007
9. North American Symptomatic Carotid Endarterectomy Trial Collaborators, Barnett HJM, Taylor DW, et al. Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis. N Engl J Med. 1991; 325(7): 445-453. doi:10.1056/ NEJM199108153250701
10. Paraskevas KI, Robertson V, Saratzis AN, Naylor AR. Editor’s Choice - An Updated Systematic Review and Meta-analysis of Outcomes Following Eversion vs. Conventional Carotid Endarterectomy in Randomised Controlled Trials and Observational Studies. Eur J Vasc Endovasc Surg. 2018; 55(4): 465-473. doi:10.1016/ j.ejvs.2017.12.025