open access

Vol 15, No 1 (2013)
Original articles
Published online: 2014-01-08
Get Citation

Surgical management of atheroslerotic internal carotid artery stenosis — first own experience report from General and Vascular Surgery Ward in Siedlce Specialist Hospital

Stanisław Jeziernicki, Henryk Komoń, Stanisław Mazur, Paweł Ziękiewicz, Krzysztof Kicki
Chirurgia Polska 2013;15(1):19-24.

open access

Vol 15, No 1 (2013)
Original articles
Published online: 2014-01-08

Abstract

Introduction: During the period 2009–2011 we performed 163 cervical endarterectomies in the General and Vascular Surgery Ward in Siedlce Specialist Hospital.

Material and methods: 144 patients (89%) underwent CEA because of symptomatic ICA stenosis of more than 70%. Moreover, the remaining 19 patients (11%) had asymptomatic ICA stenosis of more than 80%. A shunt was employed generally in 9 patients.

Results: CEA was performed with artery primary closure in 142 (87%) and in 21 (13%) cases using a polyu­rethane patch. Total percentage of strokes and deaths was 1.3%. In 3 cases (1.8%) there was no reverse ICA blood flow and a preoperative ultrasound examination did not show ICA occlusion.

Conclusions: 1. Introducing new cervical artery revascularization centers do not negatively affect nationwide postoperative complication rates. 2. Patients with critical internal cervical artery stenosis should undergo a Doppler-duplex ultrasound examination before an endarteriectomy. 3. The use of a polyurethane patch to perform an arteriotomy closure reduces the risk of restenosis.

Abstract

Introduction: During the period 2009–2011 we performed 163 cervical endarterectomies in the General and Vascular Surgery Ward in Siedlce Specialist Hospital.

Material and methods: 144 patients (89%) underwent CEA because of symptomatic ICA stenosis of more than 70%. Moreover, the remaining 19 patients (11%) had asymptomatic ICA stenosis of more than 80%. A shunt was employed generally in 9 patients.

Results: CEA was performed with artery primary closure in 142 (87%) and in 21 (13%) cases using a polyu­rethane patch. Total percentage of strokes and deaths was 1.3%. In 3 cases (1.8%) there was no reverse ICA blood flow and a preoperative ultrasound examination did not show ICA occlusion.

Conclusions: 1. Introducing new cervical artery revascularization centers do not negatively affect nationwide postoperative complication rates. 2. Patients with critical internal cervical artery stenosis should undergo a Doppler-duplex ultrasound examination before an endarteriectomy. 3. The use of a polyurethane patch to perform an arteriotomy closure reduces the risk of restenosis.

Get Citation

Keywords

ischemic stroke, internal carotid artery, carotid endarterectomy

About this article
Title

Surgical management of atheroslerotic internal carotid artery stenosis — first own experience report from General and Vascular Surgery Ward in Siedlce Specialist Hospital

Journal

Chirurgia Polska (Polish Surgery)

Issue

Vol 15, No 1 (2013)

Pages

19-24

Published online

2014-01-08

Bibliographic record

Chirurgia Polska 2013;15(1):19-24.

Keywords

ischemic stroke
internal carotid artery
carotid endarterectomy

Authors

Stanisław Jeziernicki
Henryk Komoń
Stanisław Mazur
Paweł Ziękiewicz
Krzysztof Kicki

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

Via MedicaBy "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail: viamedica@viamedica.pl