Carotid endarterectomy without shunt: 10 years experiences with 500 cases

Do Kim Que, Dao Hong Quan

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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.

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