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Phẫu thuật bóc lớp trong động mạch cảnh kinh nghiệm 500 trường hợp
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Abstract
Background: Carotid endarterectomy is effective method for preventing stroke due to carotid stenosis. Carotid endarterectomy has been performed in Viet nam since 2002.
The purpose of this study was review our experience on carotid endarterectomy in Ho Chi Minh city.
Methods: Prospective. Eveluate the clinical characteristics of stenosis of the carotid. Diagnosis was based on Duplex scanning, CT Angiography (CTA) and/or angiography. Carotid endarterectomy were performed for all of cases with conventional carotid endarterectomy or Eversion carotid endarterectomy.
Primary outcomes are mortality rates, stroke rates, restenosis at 1 month, 1 year and 5 years after operation.
Result: From 2004 to 2014, 500 carotid endarterectomy were done in Thong nhat hospital, Univerrsity Medical Hospital at HCMC and FV hospital. Mean age is 70.2 range 46 – 92, male : female ratio is 4:1. 54,8% of cases had stroke before, 12,4% of cases had bilateral carotid stenosis. Atherosclerosis are the cause of all cases. All of patients were diagnosed by Duplex scan and CTA. No procedure-related morbidity or mortality was observed. 03 (0,6%) patients died by AMI, and pneumonia in 1 month postoperative period, 04 (0,8%) stroke in 1 month after operation. After 1-10 years follow up, 5 years mortality rates is 2,0%, stroke rates is 1,4%, restenosis is 1,8%. 2 patients died after 2 years and 5 years due to cancer, 2 had stroke, 6 recurrent stenosis.
Conclusions: Carotid endarterectomy is the safeand effective methods for preventing stroke due to stenosis of carotid artery.
Article Details
Keywords
Hẹp động mạch cảnh, đột quỵ não, phẫu thuật bóc lớp trong động mạch cảnh.*
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