Carotid Endarterectomy; Single Center, Single Surgeon Results

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.