| Title |
Ar pasikeitė vidinės miego arterijos endarterektomijos rezultatai po 10 metų? / |
| Translation of Title |
Did the results of carotid endarterectomy change over 10 years? |
| Authors |
Meškauskienė, Auksė ; Barkauskas, Egidijus Vytautas ; Grigaitis, Arūnas ; Laurikėnas, Kęstutis ; Mackevičius, Artūras |
| DOI |
10.15388/LietChirur.2008.2.2156 |
| Full Text |
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| Is Part of |
Lietuvos chirurgija.. Vilnius : Lietuvos chirurgų asociacija; Vilniaus universiteto leidykla. 2008, t. 6, Nr. 2, p. 141-148.. ISSN 1392-0995. eISSN 1648-9942 |
| Keywords [eng] |
carotid endarterectomy ; indications ; operative technique ; complications |
| Abstract [eng] |
Background / objective The objective of this study was to evaluate the trends of indications for carotid endarterectomy, surgical technique and outcome rates over 10 years. Patients and methods A prospective study involved 885 carotid endarterectomies performed during 1992–2007. Data on 120 patients operated on in 1992–1995 (48 months) and on 120 patients operated on from January 2006 to August 2007 (20 months) were analysed. These two groups were compared according to the patients’ demographic data, risk factors, indications for operation, use of shunt, the type of carotid endarterectomy, and in-hospital stroke and mortality rate. Results There was a double increase in the number of carotid endarterectomies with a significant increase in operations for asymptomatic patients over ten years (61% vs 20%, p < 0.001). Patients who had underwent carotid endarterectomy were operated on for a more severe carotid stenosis (69% vs 56%, p = 0.03) with uncommon use of carotid shunting (22% vs 33%, p < 0.05). The use of some surgical techniques, such as patching or eversion endarterectomy, significantly decreased (34% vs 23%, p < 0.05; 48% vs 32%, p < 0.02, respectively). The operative mortality rate decreased from 5,0% to 0% (p = 0.013), but the rate of perioperative stroke did not change. Conclusions Over ten years, there was a significant increase in the total number of carotid endarterectomies with the greatest increase for asymptomatic indications. The operative mortality decreased, but the rate of in-hospital stroke did not shift toward a lower rate. |
| Published |
Vilnius : Lietuvos chirurgų asociacija; Vilniaus universiteto leidykla |
| Type |
Journal article |
| Language |
Lithuanian |
| Publication date |
2008 |
| CC license |
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