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Journals / Düzce Tıp Fakültesi Dergisi / 2020 / Cilt: 22 - Sayı: 2

Short Term Outcomes of Endarterectomy to Asymptomatic Extracranial Carotid Artery Disease

Ekstrakranial Karotis Arter Hastalığına Uygulanan Endarterektomi Kısa Dönem Sonuçları

Mehmet KALENDER
Oğuz UĞUR
Hayat GÖKMENGİL
A Nihat BAYSAL
İpek YAKIN DÜZYOL
Hakan PARLAR
Okay Güven KARACA
Pages
101–104
Publication Date
2020-08-30
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The objective of this study is to evaluate outcomes of carotid endarterectomy based on preoperative symptom status.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: Recently published papers regarding the treatment of carotid artery stenosis are in contradiction with previous trials.
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Key Findings & Data:Some experts have argued that this evidence supports a conservative approach to carotid revascularization (carotid endarterectomy or carotid stenting) in asymptomatic patients.
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Conclusion & Impact:The objective of this study is to evaluate outcomes of carotid endarterectomy based on preoperative symptom status.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Karotis arter darlığı · endarterektomi · inme

Abstract

Aim: Recently published papers regarding the treatment of carotid artery stenosis are in contradiction with previous trials. Some experts have argued that this evidence supports a conservative approach to carotid revascularization (carotid endarterectomy or carotid stenting) in asymptomatic patients. The objective of this study is to evaluate outcomes of carotid endarterectomy based on preoperative symptom status.

Özet

Amaç: Yakın zamanda yayınlanan karotis arter darlığı tedavisindeki çalışmalar eski sonuçlarla çelişmektedir. Bazı uzmanlar, bu bulguların asemptomatik hastalarda karotis revaskülarizasyona (karotis endarterektomi veya karotis stentleme) konservatif yaklaşımı desteklediğini ifade etmektedir. Bu çalışmanın amacı karotis endarterektomi sonuçlarının preoperatif semptom durumuna dayalı olarak incelenmesidir.

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Cite This Article

KALENDER, M., UĞUR, O., GÖKMENGİL, H., BAYSAL, A. N., DÜZYOL, İ. Y., PARLAR, H., KARACA, O. G. (2020). Short Term Outcomes of Endarterectomy to Asymptomatic Extracranial Carotid Artery Disease. Düzce Tıp Fakültesi Dergisi, Cilt: 22 - Sayı: 2, 101–104. https://ajindex.com/articles/420629

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References (9)

  1. North American Symptomatic Carotid Endarterectomy Trial Collaborators, Barnett HJM, Taylor DW, Haynes RB, Sackett DL, Peerless SJ, et al. Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis. N Engl J Med. 1991;325(7):445-53.
  2. Pessin MS, Duncan GW, Mohr JP, Poskanzer DC. Clinical and angiographic features of carotid transient ischemic attacks. N Engl J Med. 1977;296(7):358-62.
  3. Mohr JP, Caplan LR, Melski JW, Goldstein RJ, Duncan GW, Kistler JP, et al. The Harvard Cooperative Stroke Registry: a prospective registry. Neurology. 1978;28(8):754-62. Russo LS Jr. Carotid system transient ischemic attacks: clinical, racial, and angiographic correlations. Stroke. 1981;12(4):470-3.
  4. Dodick DW, Meissner I, Meyer FB, Cloft HJ. Evaluation and management of asymptomatic carotid artery stenosis. Mayo Clin Proc. 2004;79(7):937-44.
  5. Shanik GD, Moore DJ, Leahy A, Grouden MC, Colgan MP. Asymptomatic carotid stenosis: a benign lesion? Eur J Vasc Surg. 1992;6(1):10-5. Kurvers HAJM, van der Graaf Y, Blankensteijn JD, Visseren FLJ, Eikelboom BC, SMART Study Group. Screening for asymptomatic internal carotid artery stenosis and aneurysm of the abdominal aorta: comparing the yield between patients with manifest atherosclerosis and patients with risk factors for atherosclerosis only. J Vasc Surg. 2003;37(6):1226-33. European Carotid Surgery Trialists’ Collaborative Group. MRC European Carotid Surgery Trial: Interim results for symptomatic patients with severe (70-99%) or with mild (0-29%) carotid stenosis. Lancet 1991;337(8752):1235-43.
  6. Paciaroni M, Eliasziw M, Kappelle LJ, Finan JW, Ferguson GG, Barnett HJ. Medical complications associated with carotid endarterectomy. North American Symptomatic Carotid Endarterectomy Trial (NASCET). Stroke. 1999;30(9):1759-63. Thomas DJ. Protected carotid artery stenting versus endarterectomy in high-risk patients reflections from SAPPHIRE. Stroke. 2005;36(4):912-3.
  7. Goessens BMB, Visseren FLJ, Kappelle LJ, Algra A, van der Graaf Y. Asymptomatic carotid artery stenosis and the risk of new vascular events in patients with manifest arterial disease: the SMART study. Stroke. 2007;38(5):1470-5.
  8. O'Neill L, Lanska DJ, Hartz A. Surgeon characteristics associated with mortality and morbidity following carotid endarterectomy. Neurology. 2000;55(6):773-81.
  9. Kumamaru H, Jalbert JJ, Nguyen LL, Gerhard-Herman MD, Williams LA, Chen CY, et.al. Surgeon case volume and 30-day mortality after carotid endarterectomy among c