[Carotid endarterectomy under regional anesthesia: follow-up of 104 patients].

Abstract:

:Cervical carotid stenosis is one of the main causes of ischemic stroke. Carotid endarterectomy is a safe procedure for treatment of moderate and severe symptomatic and asymptomatic carotid stenosis. Regional anesthesia allows neurological evaluation of the patient during the surgery. We reviewed the results of 104 patients operated on at our institution under regional anesthesia during the period of April 1996 and May 2002. 64 patients were symptomatic (61.54%) and 40 asymptomatic (38.46%). All patients had carotid stenosis over 70%. The patients were followed from one to 72 months (Mean: 29.5). Three patients had cervical hematoma, that required surgical drainage. Two patients had minor stroke at the same side of the endarterectomy at the post-operative period and another two during the follow-up (1.92%). Two patients died due to complications related to the surgery (1.92%). Our results, compared with the literature, show that endarterectomy is a safe procedure to treat moderate or severe carotid artery stenosis.

journal_name

Arq Neuropsiquiatr

authors

Raso J,Lopes F,Serrano P,Locarno A,Frota EC,Cariri GA

doi

10.1590/s0004-282x2004000400021

subject

Has Abstract

pub_date

2004-09-01 00:00:00

pages

678-81

issue

3A

eissn

0004-282X

issn

1678-4227

pii

S0004-282X2004000400021

journal_volume

62

pub_type

杂志文章
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