Clinical analysis of carotid endarterectomy for ischemic stroke
SONG Ping
CHEN Xiao-bin
DU Hao
CAI Qiang
ZHANG Yan-guo
LUO Ming
RUAN Hang
DUAN Fa-liang
Abstract：Objective To investigate the surgical method to treat carotid artery stenosis and its effect on ischemic stroke. Methods The clinical data of 18 patients with ischemic stroke due to carotid artery stenoses, who underwent carotid endarterectomy (CEA) from February, 2006 to July, 2015, were analyzed retrospectively. Of 18 patients aged 52~75 years (mean, 63.5 years) 11 were male and 7 female. The diagnosis of carotid artery stenosis was definitely made by head and neck CTA or cerebral DSA. Results The clinical symptoms including transient ischemia attack, weak limb muscle power and disturbance of memory and language were significantly improved in 17 patients after CEA and one patient died of massive cerebral infarction 6 days after CEA. Seventeen patients were followed up from 1 to 24 months, 12 were recovered well without conplications, 3 with postoperative transient ischemia attack were recovered well after conservative treatment and 2 with carotid artery restenosis (one was recovered well after the carotid artery stent vascoplasty). Conclusions CEA is a good method to treat carotid stenosis because it is safe and it can significantly improve the symptoms in the patients with cerebral ischemia due to carotid arteries stenoses.
Keywords：Carotid artery stenosisCarotid endarterectomyIschemic strokeCurative effects
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 527-529 )