Effect of carotid endarterectomy on patients with severe stenosis of internal carotid artery
QIN Hai-lin
QIN Han
AN Xue-feng
BIE Bi-zhou
Abstract：Objective To investigate the clinical value of carotid endarterectomy (CEA) to the treatment of severe stenosis of internal carotid artery (ICA). Methods The clinical data of 40 patients with severe stenosis of ICA, who underwent CEA in neurosurgery department of our hospital from May, 2016 to November, 2018, were analyzed retrospectively. All the patients were diagnosed as severe carotid stenosis by carotid ultrasonography, and craniocervical CTA or DSA. Results The surgeries were successfully performed in all the patients. No postoperative cerebral infarction and death occurred in all the patients. One patient with transient ischemic attack after CEA was recovered from the attack within 4 hours after the attack. One patient with posteroperative ooze of blood out of the margin of the anastomosis, who had the history of radiotherapy for nasopharyngeal carcinoma, underwent the operative repair of the margin of the anatomosis. The following up from 1 to 20 months after the CEA showed that all the vessels were free without stenosis and no cerebral ischemia occurred in all the patients. Conclusions CEA is a simple, safe and effective method to treat the severe carotid stenosis, and it is of important value to the preventing and treating the cerebral ischemic stroke.
Keywords：carotid endarterectomy(CEA)ischemicstroke internal carotidstenosis
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 775-778 )