1,000 operations of carotid artery stenosis in Bielanski hospital – development of opinions inspired by recommendations and own experience
Journal Title: Postępy Nauk Medycznych - Year 2010, Vol 23, Issue 8
Abstract
Introduction: 20% of brain infracts are caused by carotid artery stenosis. In order to avoid complications, patients are offered a procedure consisting of removal of the sclerotic plaque from common carotid artery bifurcation. A thousand such procedures were performed in the Vascular Surgery and Angiology Unit in the years 2005-2009.Materials and methods: Among the 1,000 patients operated on, there were 68% men and 32% women at the age of 46-92, suffering from numerous concomitant diseases. Carotid artery stenosis was the indication for operation in >70% of symptomatic patients and in >80% patients without vivid neurological symptoms. Patients were qualified for the operation based on Doppler-duplex examination. The operation was performed under the regional anaesthesia.Results: Among the operated patients, 52% had endarterectomy with simple closure of the aterectomy, whereas 34% had enarterectomy with the patch and in 14% patients eversion technique was applied. Carotid artery clamping was applied for10 up to 42 minutes. In 26% patients it was necessary to use internal shunt. Temporary neurological disorders were observed in 7% patients, bleeding from the wound requiring control appeared in 9% patients and 1 % were deceased due to neurological reasons.Conclusions : 1. Operation of sclerotic carotid artery stenosis are an effective and safe method of brain infract prevention. 2. Due to the preventive character of the operation, it should be performed by experienced surgeons, with the possibility of objective intraoperative monitoring.
Authors and Affiliations
Walerian Staszkiewicz, Grzegorz Madycki, Andrzej Gabrusiewicz, Paweł Dąbek, Witold Raciborski, Zofia Łysko
Keywords
Related Articles
- EP ID EP53960
- DOI -
- Views 163
- Downloads 0
Stężenie kalcydiolu u chorych na łuszczycę leczonych fototerapią UVB 311
<b>Wstęp. </b>Naświetlania UVB 311nm (NB-UVB) mają wpływ na ekspresję genów substancji ważnych dla przebiegu łuszczycy poprzez zdolność do naskórkowej produkcji witaminy D.<br>&a...
Ultrasound thyroid imaging, thyroid stimulating hormone and anti-thyroid peroxidase antibodies concentrations in adolescents with a family history of thyroid diseases – preliminary results
Introduction. Data regarding the thyroid gland evaluation in adolescents with thyroid disease in the family are limited.Aim. The aim of the study was to asses thyrotropin (TSH) and anti-thyroid peroxidase antibodies (ant...
Preoperative embolisation in spine/vertebrae tumors
Introduction. Neoplasmatic tumors within vertebrae column can be a cause of mielopathic changes. They also lead to increased risk of pathological fractions of influenced vertebrae. Both those reasons may proceed to serio...
Płucna histiocytoza z komórek Langerhansa
Płucna postać histiocytozy z komórek Langerhansa (ang. pulmonary Langerhans’ cell histiocytosis – PLCH) jest jedną z chorób śródmiąższowych płuc związanych z paleniem tytoniu. Obraz histologiczny PLCH charakteryzuje się...
Some aspects of Mycobacterium leprae biology
Mycobacterium leprae was the first bacterium shown to be associated with disease in humans through the work of Hansen in the 1870s, but the sources of infection, mode of transmission and early pathogenesis of infection r...