Cartoid endarterectomy in the West Indies: should we do it?
West Indian med. j
; 47(suppl. 2): 31, Apr. 1998.
Article
em En
| MedCarib
| ID: med-1874
Biblioteca responsável:
JM3.1
Localização: JM3.1; R18.W4
ABSTRACT
From 1993 to 1995, a prospective study was conducted to assess immediate and long term results of carotid endarterectomy with cerebral monitoring of the awake patient under cervical block anaesthesia. 31 procedures were performed in 27 patients (68 ñ 10 years) with atherosclerotic stenosis of the internal carotid artery (>70 percent). Indications were transient ischaemic attacks (41 percent), hemispheric stroke with mild or moderate deficits at 6 weeks (33 percent) or asymptomatic high-grade stenosis (26 percent). 13 patients (44 percent) with cerebral hypodensity at preoperative brain CT-scan were at high-risk of cerebral ischaemia. Cervical block anaesthesia provided excellent analgesia and comfort in all patients. 5 patients (16 percent) were clamp-intolerant and required shunting. Cumulative mortality-morbidity rate was 3 percent (no death or irreversible stroke observed in this series). Follow-up was 27 ñ 17 months.(AU)
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Coleções:
01-internacional
Base de dados:
MedCarib
Assunto principal:
Endarterectomia das Carótidas
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Adult
/
Humans
País/Região como assunto:
Caribe
Idioma:
En
Revista:
West Indian med. j
Ano de publicação:
1998
Tipo de documento:
Article