Restenosis Rates After Carotid Endarterectomy with Primary Closure Under Regional Anesthesia: Results of a Single Center Study with 553 Patients

Özet

Objectives: Carotid endarterectomy (CEA) is the current gold standard management for carotid artery stenosis but there is still a debate on which closure technique is superior to lower postoperative restenosis rates. The aim of this retrospective study is to assess “restenosis rates” of our 553 patients who underwent CEA “under regional anesthesia” with “primary closure” technique. Materials and Methods: We retrospectively evaluated patients who underwent CEA, by non-shunting technique under regional anesthesia, with primary longitudinal arteriotomy closure between 2008 and 2019. Results: Five hundred and fifty three patients (409 male and 144 female) were evaluated. There were no statistically significant differences in terms of demographic characteristics, sides of stenosis, operation time, preoperative stenosis ratio, and postoperative hospital stay between the gender groups. None of the patients developed restenosis (stenosis rate of over 50%) after primary closure under regional anesthesia during the two-year follow-up period. Conclusion: According to our results, CEA with “primary closure under regional anesthesia” is a safe and effective surgical treatment for carotid stenosis without postoperative restenosis. We thought that further studies, which investigate the rate of restenosis after CEA, should also evaluate the “type of the anesthesia management” as a factor on it.