Phẫu thuật bóc lớp trong động mạch cảnh không dùng shunt tạm kinh nghiệm 10 năm

Abstract

During 10 years from 2007 to 2014, 500 carotid endarterectomy were done in Thong nhat hospital. Mean age is 70.2 range 46 – 92, male : female ratio is 4:1. Previous stroke in 54.8% of cases. Bilateral carotid stenosis in 16.4%. Atherosclerosis are the cause of all cases. All of patients were diagnosed by Duplex scan and CTA. Mean clamp time is 22.4 minus. Three patients (0.6%) died by AMI, and pneumonia in 1 month postoperative period, Four patients (0.8%) had stroke in 1 month after operation. After 10 years follow up, 1 years mortality rates is 0.6 % (3 cases), stroke rates is 0.2%%, restenosis is 1.2%. Carotid endarterectomy is the safe and effective methods for preventing stroke due to stenosis of carotid artery.