Surgical treatment of extracranial carotid stenosis by eversion technique with local anesthesia

Nguyen Van Quang, Duong Dinh Bao, Pham Minh Anh

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Abstract

75 eversion carotid endarterectomy were performed with mean age 62,6 ± 4,0, ratio male:female was 4,76:1. There were 60 symptomatic cases (80%) , 12 cases (16%) with bilateral carotid stenosis. We used eversion technique in all cases with local anesthesia. The rate of postoperative stroke was 6,7% (5 cases). Other complications were 4 cases (5,3%) of bleeding (must re-operate to treat), 10 cases (13,3%) of wound hematoma (just use medical therapy), 4 cases (5,3%) of hoarseness. All cases were in good condition after 6-36 months followup, 2 cases (2,7%) appeared with recurrent stenosis. Eversion carotid endarterectomy is considered as a safe and effective methods for treatment of ECAS.

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References

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