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Carotid endarterectomy (CEAE) is a reliable procedure for cerebrovascular insufficiency. Direct patient contact during surgery ensures reliable cerebral circulation control, minimizing stroke risk.
Area of Science:
- Vascular Surgery
- Neurology
- Cardiovascular Medicine
Context:
- Carotid atherosclerosis significantly contributes to cerebrovascular insufficiency.
- Carotid endarterectomy (CEAE) is a surgical intervention to address carotid artery blockages.
- Assessing the safety and efficacy of CEAE in patients with varying degrees of cerebrovascular insufficiency is crucial.
Purpose:
- To analyze the outcomes of carotid endarterectomy (CEAE) in male patients with carotid atherosclerosis and varying degrees of cerebrovascular insufficiency.
- To evaluate the safety and effectiveness of CEAE performed under local anesthesia.
- To determine the reliability of cerebral circulation control during CEAE through direct patient monitoring.
Summary:
- A total of 253 CEAEs were performed on 193 male patients (mean age 53.6 years) with carotid atherosclerosis.
- The study reported a low mortality rate (3 patients) and a low incidence of non-fatal stroke (1 patient) in the early postoperative period.
- No intraoperative cerebral complications occurred, highlighting the effectiveness of direct patient contact for monitoring cerebral circulation.
Impact:
- The findings suggest that CEAE is a reliable surgical option for managing cerebrovascular insufficiency caused by carotid atherosclerosis.
- The study underscores the importance of direct patient contact for real-time cerebral circulation monitoring during CEAE.
- This research contributes to the understanding of CEAE's safety profile and effectiveness in a specific patient cohort.
Abstract:
Results of carotid endarterectomy (CEAE) in 193 patients with different degree of cerebrovascular insufficiency were analyzed. All the patients were men with carotid atherosclerosis (age from 39 to 68 years, mean age 53.6 +/- 0.4). A total of 253 CEAEs were performed under local anesthesia (60 patients underwent consecutive bilateral operations). In early postoperative period 3 patients died, one of them--of ischemic stroke due to thrombosis of internal carotid artery on the side of the operation. Non-fatal stroke was in 1 patient. There were no intraoperative cerebral complications. This testifies to reliability of cerebral circulation control through direct contact with patient.