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Date Published:
02/11/2020
Online Published:
02/11/2020
Abstract Views: 211
Views PDF: 746
Views PDF: 746
Issue
Section
Research Article
How to Cite
Quang, N. V. ., Bao, D. D. ., & Anh, P. M. . (2020). Surgical treatment of extracranial carotid stenosis by eversion technique with local anesthesia. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 21, 53-57. https://doi.org/10.47972/vjcts.v21i.63
Surgical treatment of extracranial carotid stenosis by eversion technique with local anesthesia
Main Article Content
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.
Article Details
Keywords
Extracranial Carotid stenosis, Stroke, Eversion carotid endarterectomy
References
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5. Calligaro K. D and Dougherty M. J (2005), “Correlation of carotid artery stump pressure and neurologic changes during 474 carotid endarterectomies performed in awake ĐIỀU TRỊ NGOẠI KHOA HẸP ĐỘNG MẠCH CẢNH NGOÀI SỌ BẰNG KỸ THUẬT LỘT NGƯỢC NỘI MẠC… 57 patients”, J Vasc Surg; 42: p. 684-9
6. Enzo Ballotta and Giuseppe Da Giau (2003), “Selective shunting with eversion carotid endarterectomy”, J Vasc Surg ;38, p.1045-50
7. Enzo Ballotta, Giorgio Meneghetti, Giuseppe Da Giau, Renzo Manara, Marina Saladini, MD,b and Claudio Baracchini (2008), “Carotid endarterectomy within 2 weeks of minor ischemic stroke: A prospective study” , J Vasc Surg; 48: p. 595-600
8. Gary G. Ferguson, Michael Eliasziw, Hugh W.K. Barr, G. Patrick Clagett, Robert W. Barnes, MD, M. Christopher Wallace (1999), “The North American Symptomatic Carotid Endarterectomy Trial¬Surgical Results in 1415 Patients”, Stroke; 30:p.1751-175
9. Guy Leseche, Jean-Marc Alsac, Rabih Houbbalah, Yves Castier, Francis Fady, Mikael Mazighi, and Pierre Amarenco (2010) , “Carotid endarterectomy in the acute phase of stroke-in-evolution is safe and effective in selected patients¬
10. John J. Ricotta, Ali AbuRahma, Enrico Ascher, Mark Eskandari (2011), “Updated Society for Vascular Surgery guidelines for management of extracranial carotid disease”, J Vasc Surg; 54: p.1 – 31
11. Kenneth Rosenfield, Jon S. Matsumura, Seemant Chaturvedi, Tom Riles, Gary M. Ansel, Chris Metzger, Lawrence Wechsler, Michael R. Jaff (2016), “Randomized Trial of Stent versus Surgery for Asymptomatic Carotid Stenosis”, The new England journal of medicine, vol. 374 no. 11, p. 1011 -1020
12. Lewis S. C, Warlow C P, Bodenham A R, Colam B,¬ Rothwell P M, Torgerson D, Dellagrammaticas D (2008), “General anaesthesia versus local anaesthesia for carotid surgery (GALA): a multicentre, randomised controlled trial”, Lancet; 372: p.2132–42
13. P. Cao, P. De Rango and S. Zannetti (2002), “Eversion vs Conventional Carotid Endarterectomy: a Systematic Review”, Eur J Vasc Endovasc Surg, 23, p.195–201
14. Rantner B, Schmidauer C, Knoflach M, Fraedrich G (2015), “Very Urgent Carotid Endarterectomy Does Not Increase the Procedural Risk”, Eur J Vasc Endovasc Surg, 49, p. 129 – 136
15. Serdar Demirel, MD; Nicolas Attigah, MD; Hans Bruijnen, MD; Peter Ringleb, PhD; Hans-Henning Eckstein, PhD; Gustav Fraedrich (2012), “Multicenter Experience on Eversion Versus Conventional Carotid Endarterectomy in Symptomatic Carotid Artery Stenosis”, Stroke.;43:p.1865-1871
16. Tony Katras, Ulises Baltazar, Daniel S. Rush, W. Chris Sutterfield, Leo M. Harvill, , and Paul E. Stanton (2001), “Durability of eversion carotid endarterectomy: Comparison with primary closure and carotid patch angioplasty”, J Vasc Surg; 34:p453-8
2. Ali F. AbuRahma, MD, Albeir Y. Mousa, MD, and Patrick A. Stone (2011), “Shunting during carotid endarterectomy”, J Vasc Surg;54: p.1502-10
3. Ali F. AbuRahma, Patrick A. Stone, Stephen M. Hass (2010), “Prospective randomized trial of routine versus selective shunting in carotid endarterectomy based on stump pressure”, J Vasc Surg; 51: p. 1133-8
4. C.N. Antonopoulos, J.D. Kakisis, T.N. Sergentanis, C.D. Liapis (2011), “Eversion versus Conventional Carotid Endarterectomy: A Meta-analysis of Randomised and Non-randomised Studies” Eur J Vasc Endovasc Surg, 42, p.751 – 765
5. Calligaro K. D and Dougherty M. J (2005), “Correlation of carotid artery stump pressure and neurologic changes during 474 carotid endarterectomies performed in awake ĐIỀU TRỊ NGOẠI KHOA HẸP ĐỘNG MẠCH CẢNH NGOÀI SỌ BẰNG KỸ THUẬT LỘT NGƯỢC NỘI MẠC… 57 patients”, J Vasc Surg; 42: p. 684-9
6. Enzo Ballotta and Giuseppe Da Giau (2003), “Selective shunting with eversion carotid endarterectomy”, J Vasc Surg ;38, p.1045-50
7. Enzo Ballotta, Giorgio Meneghetti, Giuseppe Da Giau, Renzo Manara, Marina Saladini, MD,b and Claudio Baracchini (2008), “Carotid endarterectomy within 2 weeks of minor ischemic stroke: A prospective study” , J Vasc Surg; 48: p. 595-600
8. Gary G. Ferguson, Michael Eliasziw, Hugh W.K. Barr, G. Patrick Clagett, Robert W. Barnes, MD, M. Christopher Wallace (1999), “The North American Symptomatic Carotid Endarterectomy Trial¬Surgical Results in 1415 Patients”, Stroke; 30:p.1751-175
9. Guy Leseche, Jean-Marc Alsac, Rabih Houbbalah, Yves Castier, Francis Fady, Mikael Mazighi, and Pierre Amarenco (2010) , “Carotid endarterectomy in the acute phase of stroke-in-evolution is safe and effective in selected patients¬
10. John J. Ricotta, Ali AbuRahma, Enrico Ascher, Mark Eskandari (2011), “Updated Society for Vascular Surgery guidelines for management of extracranial carotid disease”, J Vasc Surg; 54: p.1 – 31
11. Kenneth Rosenfield, Jon S. Matsumura, Seemant Chaturvedi, Tom Riles, Gary M. Ansel, Chris Metzger, Lawrence Wechsler, Michael R. Jaff (2016), “Randomized Trial of Stent versus Surgery for Asymptomatic Carotid Stenosis”, The new England journal of medicine, vol. 374 no. 11, p. 1011 -1020
12. Lewis S. C, Warlow C P, Bodenham A R, Colam B,¬ Rothwell P M, Torgerson D, Dellagrammaticas D (2008), “General anaesthesia versus local anaesthesia for carotid surgery (GALA): a multicentre, randomised controlled trial”, Lancet; 372: p.2132–42
13. P. Cao, P. De Rango and S. Zannetti (2002), “Eversion vs Conventional Carotid Endarterectomy: a Systematic Review”, Eur J Vasc Endovasc Surg, 23, p.195–201
14. Rantner B, Schmidauer C, Knoflach M, Fraedrich G (2015), “Very Urgent Carotid Endarterectomy Does Not Increase the Procedural Risk”, Eur J Vasc Endovasc Surg, 49, p. 129 – 136
15. Serdar Demirel, MD; Nicolas Attigah, MD; Hans Bruijnen, MD; Peter Ringleb, PhD; Hans-Henning Eckstein, PhD; Gustav Fraedrich (2012), “Multicenter Experience on Eversion Versus Conventional Carotid Endarterectomy in Symptomatic Carotid Artery Stenosis”, Stroke.;43:p.1865-1871
16. Tony Katras, Ulises Baltazar, Daniel S. Rush, W. Chris Sutterfield, Leo M. Harvill, , and Paul E. Stanton (2001), “Durability of eversion carotid endarterectomy: Comparison with primary closure and carotid patch angioplasty”, J Vasc Surg; 34:p453-8
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