Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Turk J Vasc Surg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 2667-4947 E-ISSN 2667-5080



Turkish Journal of Vascular Surgery 2013 , Vol 22 , Issue 1
Carotid Endarterectomy; Single Center, Single Surgeon Results
Hasan Alper GÜRBÜZ, Ahmet Barış DURUKAN, Elif DURUKAN, Nevriye SALMAN, Murat TAVLASOĞLU, Fatih Tanzer SERTER, Halil İbrahim UÇAR, Cem YORGANCIOĞLU
1Departments of Cardiovascular Surgery, Medicana International Ankara Hospital, Ankara
2Department of Biology, Hacettepe University Faculty of Science, Ankara
3Department of Public Health, Başkent University Faculty of Medicine, Ankara
4Anesthesiology and Reanimation, Medicana International Ankara Hospital, Ankara
5Clinic of Cardiovascular Surgery, Diyarbakır Military Hospital, Diyarbakır
DOI : 10.9739/uvcd.2012-33291 Objective: Carotid artery stenosis is one of the main causes of ischemic stroke. As the population gets older, it becomes more important. Carotid endareterectomy has proven its safety and efficacy, and it is the best treatment option. In this report, we share our results of conventional carotid endarterectomy performed by one surgeon with primary closure without using shunt except in one patient. Material and Methods: Between 2009 and 2012, 42 patients underwent carotid endarterectomy. The mean age, mean clamp time, co-morbidities, surgical and aneshesia procedures, perioperative and postoperative complications were studied. Results: The mean age of the patients was 66 ± 8.13 years. Of all patients 78.6% were males and 21.4% were females. Shunt and patchpasty was used in one patient (2.3%). Conventional endarterectomy, primary closure without using shunt was performed in other patients. Two patients (4.7%) had complications in the postoperative period, one had a transient ischemic attack and one had a neulogical sequel. Conclusion: Carotid endarterectomy can be performed safely in carotid artery stenosis and has different modifications. It is very important to complete the procedure with short clamp times. According to our data, we believe that, to maintain acceptable results, patient and optimal surgery type selection and primary closure without shunting are very effective. Keywords : Carotid endarterectomy; carotid stenosis; treatment outcome
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