Abstract

BACKGROUND
Carotid stenosis is the most common cause of ischemic stroke and is managed by carotid endarterectomy. We report our ten-year results of carotid surgery for stenosis and kinking of the internal carotid artery (ICA).
METHODS
Four hundred sixty nine patients underwent surgery: 306 localized carotid endarterectomy, 107 extensive endarterectomy, 18 shortening of the ICA plus endarterectomy, 42 endarterectomy plus coronary artery bypass, 11 endarterectomy plus bypass to another cervical artery, and 1 endarterectomy with aortic valve replacement.
RESULTS
Three patients had an ipsilateral stroke, 2 due to technical reasons and one for a stroke in evolution. Six had transient facial nerve dysfunction, 2 division of the hypoglossal nerve and one vocal cord paralysis. Thirty-one patients died, 16 during the hospital stay and 15 during the follow up.
CONCLUSIONS
The short and long-term results of carotid endarterectomy are excellent. Carotid endarterectomy remains the "gold standard" for the treatment of carotid stenosis.

Authors

Cintrón Díaz E, Olmeda S, Quiñones A, García-Rinaldi R

Institution

Section of Cardiovascular Surgery of Mayaguez Medical Center, Mayaguez, PR.

Source

Boletín de la Asociación Médica de Puerto Rico 103:4 pg 6-9

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22737823