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Carotid endarteriectomy in patients with contralateral internal carotid artery occlusion - early postoperative results
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Abstract
Material and methods. 323 procedures of carotid endarteriectomy were performed in the Department of Cardiac Surgery during the years 2002-2003. The patients were divided into two groups - group I (49 cases) of patients with occlusion of ICA and ≥ 70% stenosis of contralateral ICA, and group II (274 cases) of ≥ 70% ICA stenosis without contralateral occlusion. Group I had significantly more common preoperative neurological incidents and significantly more common ischemic changes in brain CT (p > 0.001).
Results. In group I there were 2 brain infarcts in early observation (4.1%), while in group II 4 neurological incidents were noted (1.5%). No patient died in group I, while 5 patients died in early observation in group II giving mortality of 1.8%. In group I intraluminal shunt was used significantly more commonly (16.3% vs. 2.2%).
Conclusions. The rates of neurological complications were comparable in both groups. Intraluminal shunting was used more commonly in the group with contralateral internal carotid artery occlusion.
Abstract
Material and methods. 323 procedures of carotid endarteriectomy were performed in the Department of Cardiac Surgery during the years 2002-2003. The patients were divided into two groups - group I (49 cases) of patients with occlusion of ICA and ≥ 70% stenosis of contralateral ICA, and group II (274 cases) of ≥ 70% ICA stenosis without contralateral occlusion. Group I had significantly more common preoperative neurological incidents and significantly more common ischemic changes in brain CT (p > 0.001).
Results. In group I there were 2 brain infarcts in early observation (4.1%), while in group II 4 neurological incidents were noted (1.5%). No patient died in group I, while 5 patients died in early observation in group II giving mortality of 1.8%. In group I intraluminal shunt was used significantly more commonly (16.3% vs. 2.2%).
Conclusions. The rates of neurological complications were comparable in both groups. Intraluminal shunting was used more commonly in the group with contralateral internal carotid artery occlusion.
Keywords
internal carotid artery; internal carotid artery occlusion; carotid endarteriectomy
About this articleTitle
Carotid endarteriectomy in patients with contralateral internal carotid artery occlusion - early postoperative results
Journal
Issue
Article type
Research paper
Pages
59-68
Published online
2006-04-27
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729
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1230
Bibliographic record
Acta Angiologica 2006;12(2):59-68.
Keywords
internal carotid artery
internal carotid artery occlusion
carotid endarteriectomy
Authors
Łukasz Znaniecki
Jacek Wojciechowski
Marcin Trenkner
Grzegorz Halena
Czesław Kwiatkowski
Piotr Konefka