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[Peripheral nerve injuries during carotid endarterectomy]
M Pegoraro1, C Barile, F Nessi
1Divisione di Chirurgia Vascolare, Ospedale Molinette, Torino.
Minerva Cardioangiologica
|May 1, 1990
Summary
Carotid endarterectomy can cause major nerve injuries, including vocal cord paralysis and hoarseness, in 9% of patients. These nerve injuries did not lead to stroke after the carotid surgery.
Area of Science:
- Neurology
- Vascular Surgery
Context:
- Carotid endarterectomy (CEA) is a surgical procedure to remove plaque from the carotid artery.
- Nerve injuries are a potential complication of CEA, impacting patient outcomes.
Purpose:
- To retrospectively review the incidence and types of major nerve injuries following CEA.
- To assess the relationship between nerve injury and stroke risk post-CEA.
Summary:
- A 10-year review of 134 CEAs in 120 patients identified major nerve injuries in 15 patients (9%).
- Injuries included vagal nerve (vocal cord paralysis, hoarseness), marginal mandibular nerve, and hypoglossal nerve damage.
- No stroke complications were observed in patients with nerve injuries.
Impact:
- The incidence of cranial nerve injury during CEA may be higher than previously reported.
- Findings highlight the importance of monitoring for and documenting nerve-related complications after CEA.