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NGHIÊN CỨU LÂM SÀNG Issue: Số 106 năm 2023

Midterm results of endarectomy in treating atherosclerotic carotid artery disease at Dong Nai Provinicial General Hospital

Võ Tuấn Anh: Bệnh viện Đa khoa Đồng Nai; Kiều Minh Sơn: Bệnh viện Đa khoa Đồng Nai;
Published: August 1, 2023
Views: 71
DOI 10.58354/jvc.106.2023.675

Abstract

Introduction: Stroke is one of the leading causes of death and disability worldwide. Carotid endarterectomy for atherosclerotic carotid stenosis has been proved to reduce the incidence of cerebral infarction.

Objective: To evaluate the early and mid-term results of carotid endarterectomy at Dong Nai General Hospital from January 2017 to October 2023.

Subjects and methods: All patients underwent carotid endarterectomy surgery patients at Dong Nai general hospital from January 2017 to October 2023. A retrospective descriptive study of a case series was performed.

Results: From January 2017 to October 2023, we have 89 patients underwent carotid endarterectomy, including 77 men (86.5%) and 12 women (13.5%), the average age is 65 ,2 ± 11,1; 49 patients (55.1%) were symptomatic. Anesthesia methods: General anesthesia for 85 patients (95.6%), local anesthesia for 4 patients (4.4%). Surgical methods: Conventional PTFE patch in 53 patients (59.6%), eversion carotid endarterectomy was performed in 36 patients (40.4%). Postoperative results: 1 patient (1.1%) died due to bleeding, 1 patient (1.1%) had cerebral infarction after 6.97 ± 3.9 days. Mean medium-term follow-up: 23.74 months. There was 1 patient died due to late surgical bleeding after 2 months, 0 patients had recurrent cerebral infarction on the same side, 6 patients died from all causes (6.7%).

Conclusion: Carotid endarterectomy is a safe and effective method for stroke prevention. This method can be effectively deployed in provincial hospitals.

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Section NGHIÊN CỨU LÂM SÀNG
Issue Số 106 năm 2023