Retrospective Evaluation of 85 Patients with Carotid Endarterectomy: Results of Different Techniques

Özet

Objectives: Carotid endarterectomy (CEA) is a safe and effective surgical technique that prevents stroke in symptomatic and asymptomatic patients with severe internal carotid artery (ICA) stenosis. However, this surgical procedure is associated with a perioperative stroke risk of 2-7.5%. In this study, we examined the characteristics and early results of patients who underwent surgery for carotid artery stenosis in light of the current literature. Materials and Methods: We retrospectively evaluated the data of patients who were diagnosed with symptomatic and asymptomatic ICA stenosis between January 2019 and January 2020 and underwent CEA in our hospital. A total of 85 patients were included in the study. Results: The mean age of the patients was 67±8.2 years and 72.9% of the patients were male. The most common accompanying risk factors were smoking (64.7%) and hypertension (61.1%). Majority of patients had CEA for symptomatic carotid disease. One patient (1.1%) developed temporary hemiparesis. One patient (1.1%) developed transient ischemic attack. Six patients (7%) developed a postoperative hematoma and subsequently required revision. There was no mortality associated with the procedure. Conclusion: Carotid artery surgery is a reliable method with low mortality and morbidity rates especially in those centers with high numbers and experienced surgical teams. A team approach including anesthetists, neurologists and interventional radiologists or interventional vascular surgeons is the key to critical decision making and the success.