Carotid endarterectomy in the era of endovascular therapy: still the gold standard.
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).
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.
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.
The short and long-term results of carotid endarterectomy are excellent. Carotid endarterectomy remains the "gold standard" for the treatment of carotid stenosis.
Section of Cardiovascular Surgery of Mayaguez Medical Center, Mayaguez, PR.
SourceBoletín de la Asociación Médica de Puerto Rico 103:4 pg 6-9
Pub Type(s)Journal Article