Timing of Carotid Endarterectomy: Perioperative Outcome According to Index Event to Operation Room TimeReportar como inadecuado




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Aim: Carotid endarterectomy CEA is thechoice of treatment for prevention of cerebrovascular events in vulnerablepatients. In this single-center multi surgeon study, we aimed to evaluateoutcomes of neurologically stable patients who underwent CEA after symptoms ofcerebrovascular event accordingto time between the event and operation. Methods: In our clinic during 2008-2012, we applied 67 CEA to 65 patients. Tenof these 65 patients excluded from trial due to combined CABG operation. 18patients were asymptomatic prior to operation and excluded. Thirty-nine ofthese patients were symptomatic and enrolled to study. Data were collectedretrospectively. All enrolled patients were divided into two groups, accordingto the time between event and operation. Group I: Early Group ≤14 days. Group II: Late Group >14 days.Results: In our clinic during2008-2012, we applied 39 CEA procedures to consecutive 37 patients withsymptomatic carotid artery stenosis. None of preoperative variables wereassociated with postoperative mortality p > 0.05. We observedpostoperative bleeding in one patient who was in Late Group II. Postoperativebleeding was only associated with hyperlipidemia p = 0.003. Postoperativestroke was observed in moderate cardiac risk patients in Early Group I p =0.003. But none of the postoperative complications were associated with studygroups. We observed that, closure technique primary closure was associatedwith postoperative stroke p = 0.030. We have achieved shorter waiting timeduring study time phrase but it couldn’t reached statistical significance p =0.196.



Autor: Mehmet Kalender1*, Ahmet Nihat Baysal1, Ata Niyazi Ecevit1, Okay Güven Karaca2, Mehmet Tasar3, Salih Salihi4

Fuente: http://www.scirp.org/



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