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 2012 , Vol 21 , Issue 2
Asemptomatik Unilateral Karotis Arter Darlığında Hasta Yönetimi
Zafer İŞCAN, M.Onur HANEDAN, Ertekin Utku ÜNAL, Adem DİKEN, Anıl ÖZEN, Garip ALTINTAŞ, Turgut ÖZKAN, Soner YAVAŞ
1Kalp-Damar Cerrahisi Kliniği, Türkiye Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Ankara Objective: Patients with asymptomatic unilateral carotid artery disease that was hemodynamically important were studied in respect to management of asymptomatic disease, surgical in- dications and medical follow-up. Material and Methods: Twenty-seven patients whom were diagnosed of carotid artery disease at screening procedures or control scan before coronary artery bypass operation. Only asymptomatic patients with isolated unilateral disease or ipsilateral disease with low grade contralateral stenosis (0-49%) were evaluated. Basal and 6 month/annually Doppler ultrasonography follow-up results were obtained. Results: Mean follow-up period was 31,3 ± 29,9 months (range 5-123 months, median 24 months). There was no statiscally significant diffe- rence according to lesion progression at follow-up period (p= 0,25). There were no major cerebrovascular events related to asymptomatic lesion side. However, there were minor cerebrovascular events related to contralateral side in three patients (11,1%) with contralateral carotid endarterectomy. Conclusion: Carotid endarterectomy should not be an absolute indication for signifant asymptomatic unilateral carotid artery disease. But it should be in accordance to experience of surgeon and clinical principles. We think that medical therapy in asymptomatic unilateral carotid artery disease may be an appropriate choice. However carotid endarterectomy still plays an important role in selected patients with critical stenosis (80-99%) and at centers at which stroke and mortality ra- tes lower than 3%. Keywords : Asymptomatic condition; carotid artery disease; carotid endarterectomy
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