Effect of carotid endarterectomy in the prevention and treatment of ischemic strokcure
WANG Min
TONG Xian-zhou
TONG Lin-long
Abstract：Objective To summarize the experience of carotid endarterectomy in prevention and treatment of the ischemic stroke .Methods From October 2001 to December 2011 , 196 patients with unilateral internal carotid artery stenosis received carotid endarterectomy .In operation, carotid artery, shunts were applied in 47 cases, bloc-king blood flow in 149 cases.The preoperative carotid angiography showed internal carotid artery stenosis greater than 70%in 133 cases, more than 95%in 63 cases.There were 71 cases to be complicated by coronary artery lesions , 17 cases received coronary artery bypass simultaneously .Results The postoperative clinical symptoms improved in 191 cases, cerebral hemorrhage appeared in 3 cases within 1 week after operation, among them after the hemostatic crani-otomy drainage , 1 case was healed , 2 cases died .In 12 cases hematoma appealed inside cervical incision and were cured by the surgical debridement hemostasis .All cases were followed up for 6 to 60 months, 166 cases received fol-low-up, lost fellow-up in 28 cases, 38 cases died of disaster or ill in a follow-up.There were no attack of cerebral is-chemic symptoms again in128 cases.Conclusion Carotid endarterectomy is an effective and safe treatment for severe carotid artery stenosis .
Keywords：Ischemic strokeCarotid artery stenosisCarotid endarterectomyCarotid artery shunt
Publication Date：2013-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 958-959,960 )