EARLY OUTCOMES OF CAROTID ENDARTERECTOMY FOR TREATMENT INTERNAL CAROTID ARTERY STENOSIS CAUSING BY ATHEROSCLEROSIS AT BACH MAI HOSPITAL
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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.
Article Details
Keywords
stroke, carotid endarterectomy, carotid artery stenosis.
References


2. Donkor ES. Stroke in the 21(st) Century: A Snapshot of the Burden, Epidemiology, and Quality of Life. Stroke Res Treat. 2018;2018: 3238165. doi:10.1155/2018/3238165


3. Tsao CW, Aday AW, Almarzooq ZI, et al. Heart Disease and Stroke Statistics-2023 Update: A Report From the American Heart Association. Circulation. Feb 21 2023;147(8):e93-e621. doi:10. 1161/cir.0000000000001123


4. Schneider JR, Helenowski IB, Jackson CR, et al. A comparison of results with eversion versus conventional carotid endarterectomy from the Vascular Quality Initiative and the Mid-America Vascular Study Group. J Vasc Surg. May 2015;61(5):1216-22. doi:10.1016/j.jvs.2015.01.049


5. Marsman MS, Wetterslev J, Keus F, et al. Plexus anesthesia versus general anesthesia for carotid endarterectomy: A systematic review with meta-analyses. Ann Med Surg (Lond). May 2021; 65: 102327. doi:10.1016/j.amsu.2021.102327


6. Endarterectomy vs. Angioplasty in Patients with Symptomatic Severe Carotid Stenosis (EVA-3S) Trial. Cerebrovasc Dis. 2004;18(1):62-5. doi:10.1159/000078751


7. Ferguson GG, Eliasziw M, Barr HW, et al. The North American Symptomatic Carotid Endarterectomy Trial: surgical results in 1415 patients. Stroke. Sep 1999;30(9): 1751-8. doi: 10.1161/ 01.str.30.9.1751


8. Randomised trial of endarterectomy for recently symptomatic carotid stenosis: final results of the MRC European Carotid Surgery Trial (ECST). Lancet. May 9 1998;351(9113):1379-87.
