Clinical outcomes of staged bilateral carotid endarterectomy for bilateral carotid artery stenosis

Amy Kim; Tae-Won Kwon; Youngjin Han; Sun U. Kwon; Hyunwook Kwon; Minsu Noh; Yong-Pil Cho

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자료유형: 학술저널

저자정보: Amy Kim (University of Ulsan College of Medicine) Tae-Won Kwon (University of Ulsan College of Medicine) Youngjin Han (University of Ulsan College of Medicine) Sun U. Kwon (University of Ulsan College of Medicine) Hyunwook Kwon (University of Ulsan College of Medicine) Minsu Noh (University of Ulsan College of Medicine) Yong-Pil Cho (University of Ulsan College of Medicine)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.89 No.5

발행연도: 2015.10

수록면: 261 - 267 (7page)

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Purpose: This retrospective cohort study aimed to determine the clinical outcomes of staged bilateral carotid endarterectomy (CEA) for bilateral internal carotid artery (ICA) stenosis performed with a short interval between the primary and secondary CEA procedures.
Methods: In our institution, 574 consecutive patients underwent CEA between September 2007 and August 2014. Bilateral significant ICA stenosis was identified in 43 patients (7.5%) who underwent staged bilateral CEA within 30 days or less. Patients with unilateral CEA and staged bilateral CEA were compared in terms of CEA outcomes. The primary endpoint was the composite of any stroke, myocardial infarction, or death during the periprocedural period or ipsilateral stroke within 3 years after the CEA.
Results: Staged bilateral CEA was not associated with ipsilateral stroke (P = 0.178) during postoperative follow-up. The two groups did not differ in terms of estimated 3-year primary endpoint rates (2.8% vs. 4.7%, P = 0.456) or ipsilateral strokefree (P = 0.225), any stroke-free (P = 0.326), or overall (P = 0.739) survival rates.
Conclusion: Patients with bilateral significant ICA stenosis can undergo staged bilateral CEA within 30 days or less with outcomes that compare favorably with those of patients undergoing unilateral CEA.

#Carotid stenosis #Treatment outcome #Carotid endarterectomy

참고문헌 (24)

참고문헌 신청

[학술지(정기간행물)] - North American Symptomatic Carotid Endarterectomy Trial Collaborators. / 1991 / Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis / N Engl J Med 325 : 445 ~ 453

[학술지(정기간행물)] - MRC European Carotid Surgery Trial : interim results for symptomatic patients with severe(70-99%)or with mild(0-29%)carotid stenosis. / 1991 / European Carotid Surgery Trialists' Collaborative Group / Lancet 337 : 1235 ~ 1243

[학술지(정기간행물)] - Cunningham EJ. / 2002 / Longterm durability of carotid endarterectomy for symptomatic stenosis and risk factors for late postoperative stroke / Stroke 33 : 2658 ~ 2663

[학술지(정기간행물)] - Endarterectomy for asymptomatic carotid artery stenosis. / 1995 / Executive Committee for the Asymptomatic Carotid Atherosclerosis Study / JAMA 273 : 1421 ~ 1428

[학술지(정기간행물)] - Buratti L. / 2014 / Cognitive deterioration in bilateral asymptomatic severe carotid stenosis / Stroke 45 : 2072 ~ 2077

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