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 2010 , Vol 19 , Issue 3
Karotis Arter Stenozunda Stent Uygulaması Rejyonel Anestezi ile Selektif Şant Kullanılarak Yapılan Karotis Endarterektomiye Alternatif midir?
Ata ECEVİT, Hakkı Tankut AKAY, Erdal ASLIM, Ali HARMAN, Umut ÖZYER, Salih ÖZÇOBANOĞLU, Bahadır GÜLTEKİN, Murat ÖZKAN, Atilla SEZGİN, Sait AŞLAMACI
1Kalp ve Damar Cerrahisi AD, Başkent Üniversitesi Tıp Fakültesi, Ankara
2Radyoloji AD, Başkent Üniversitesi Tıp Fakültesi, Ankara
Objective: In this study, 82 patients who were treated with carotid endarterectomy and 39 patients who were treated with stent due to carotid artery stenosis in between 2001-2009 were evaluated retrospectively and compared. Material and Methods: Carotid artery stenting was performed by interventional radiology team in angiography suit. All the endarterectomy procedures were performed by the same cardiovascular sugery team. Operation times, mortality, morbidity, hospital stay times and cost analysis were calculated, recorded and compared between surgery and stent groups. Results: The number of early complications in surgery group was in 4 patients with hemorraghia (4.9%) and 10 patients in stent group (25.6%) with hemiparesia, hemiplegia, hemor- raghia and disphasia. Although there was no cerebrovascular event in surgery group, in stent gro- up 10 patients had cerebrovascular event (P< 0.001). Mortality occured in 2 and 5 patients in surgery (2.5%) and stent (12.5%) groups respectively. The mean intensive care unit stay time in surgery and stent groups were 1.24 ± 1.77 and 2.5 ± 1.76 day and hospital stay time in surgery and stent groups were 1.75 ± 0.88 and 3.79 ± 4.0 day respectively. In financial analysis total costs for surgery group was 2800 Turkish liras and in stent group 3756.41 Turkish liras (P< 0.001). Conclusion: Carotid endarterectomy with regional anesthesia is a safer and cheaper treatment modality with lower rates of mortality and morbidity when compared with carotid artery stenting. Big randomized series in future studies will give more detailed information about the feasibility of these two treatment modalities. Keywords : Carotid arteries; carotid stenosis; endarterectomy, carotid
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