Objective: In this
study, the relationship between preoperative risk factors and operative
outcomes in patients undergoing unilateral carotid endarterectomy was compared
in the light of literature reviews.
Material – Method:
223 patients who underwent unilateral carotid endarterectomy in Dr.Siyami Ersek
Breast Heart and Vascular Surgery Training and Research Hospital in the years
between 2007 and 2009 were included in the study. The mean age of the patients
was 68.13 ± 5,25 and 29,5% of them were women (n=66) while 70,5% of them were
men (n=157). 43.5% of patients (n=97) had hypertension and 61.2% of patients (n
= 136) had diabetes mellitus. 76.1% of patients (n = 170) had a history of
smoking while 29.3% of patients (n = 65) had hyperlipidemia. In 5.4% (n = 12)
of patients experienced perioperative stroke, 10.8% (n = 24) of patients had a
history of prolonged neurologic disease and 6.8% (n = 15) of patients had
experienced transient ischemic attacks.
Results: Patients
undergoing carotid endarterectomy in the postoperative period were followed
under 3 main headings: early neurologic complications, early cardiac
arrhythmias and other complications (multiple organ failure, respiratory
problems and hypertension). Early neurologic complications in patients were
followed by the frequency of stroke, transient ischemic attack (TIA), and
prolonged reversible ischemic neurological disease (PRIND). In this group, the
rate of stroke patients in the postoperative period was 2.2% (n = 5) while the
rate of TIA or PRIND patients was 4.1% (n = 9).
Conclusion: Reducing
mortality and morbidity after carotid artery endarterectomy is possible with a
good analysis of preoperative risks and a good preoperative preparation. Cardiovascular
surgeons have a great role and responsibility to reduce the risk and
complications of carotid artery endarterectomy in preoperative, intraoperative
and postoperative periods.
Carotid artery diseases; carotid stenosis; neurological symptom; stroke; surgical treatment
Primary Language | English |
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Subjects | Health Care Administration |
Journal Section | Surgical Science Research Articles |
Authors | |
Publication Date | December 29, 2018 |
Acceptance Date | December 26, 2018 |
Published in Issue | Year 2018Volume: 40 Issue: 4 |