Carotid endarterectomy; A new center, two years results

Abstract

Aim: We aimed to evaluate the demographic characteristics and early postoperative complications of patients who underwent conventional carotid endarterectomy (CEA) in a secondary level hospital retrospectively. Material and Methods: Forty-six patients who operated by a single surgeon at Sinop Ataturk State Hospital between January 2015 to December 2016 were included in the current study. Data regarding to demographic characteristics, symptoms, distribution of lesions, diagnostic methods, operation technique and early complications have been collected from handwritten and electronic clinical records. Results: The mean age was found as 70.9±9.7. Thirty patients were male. The most common risk factors were hypertension (93.5%), hyperlipidemia (50%), cigarette (41.3%) and diabetes (34.8%). Conventional CEA (CCEA) was performed to all patients. Patch plasty was applied to only one patient. According to the internal carotid artery stump pressure, T shunt was performed to 17.4% of patients. One patient died in early postoperative period because of myocardial infarction. In four patients; transient dysphagia, in three patients; hematoma requiring revision, in one patient; uncontrolled hypertension, and in one patients wound infection occurred. Furthermore, delirium occurred in one patient. Conclusion: Our experience CEA are compatible with the literature. Our results have supported that CCEA with measurement of carotid arter stump pressure are reliable surgical procedure for patients with carotid artery stenosis. Cardiac complications are rare but it can be mortal. Minor surgical complications are more common than death and stroke risk. However, close follow-up can prevent serious complications.