Carotid endarterectomy 20-year experience in a low-volume center
Introduction: Carotid endarterectomy (CEA) is the first choice in the treatment of extracranial carotid occlusive disease but exists the controversy if this surgical procedure must be done just in center of high volume. Objective: The aim of the study is to assess if it is safe to perform CEA in a l...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2020-01-01
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| Series: | Indian Journal of Vascular and Endovascular Surgery |
| Subjects: | |
| Online Access: | http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2020;volume=7;issue=4;spage=361;epage=369;aulast= |
| _version_ | 1819278892890849280 |
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| author | Felipe Gerardo Rendón Elías Gabriel Anaya Medina Marely Hernández Sánchez Carlos Miguel Salas Rios Gustavo Armando De La Cerda Belmont Luis Humberto Gómez Danés |
| author_facet | Felipe Gerardo Rendón Elías Gabriel Anaya Medina Marely Hernández Sánchez Carlos Miguel Salas Rios Gustavo Armando De La Cerda Belmont Luis Humberto Gómez Danés |
| author_sort | Felipe Gerardo Rendón Elías |
| collection | DOAJ |
| description | Introduction: Carotid endarterectomy (CEA) is the first choice in the treatment of extracranial carotid occlusive disease but exists the controversy if this surgical procedure must be done just in center of high volume. Objective: The aim of the study is to assess if it is safe to perform CEA in a low-volume center and trying to answer some controversial questions about the preoperative, transoperative, and postoperative management. Design: This was a retrospective and observational case study. Patients and Methods: Details of 328 consecutive patients operated upon for carotid stenosis from September 1998 to December 2018 were analyzed. Results: Perioperative mortality was 0%. Perioperative neurological morbidity was 0.6% with major strokes and 1.2% minor strokes and transient lesions of cranial nerves were 4%, and there was no reoperation for bleeding or thrombosis. Conclusion: The zero percent mortality and low complication rate in our hospital are related to improved preoperative patients' evaluation, surgeons' increasing experience, and to surgical and anesthesiologic technique, so following a strict protocol, performing a CEA in a low-volume center is safe. |
| first_indexed | 2024-12-24T00:19:14Z |
| format | Article |
| id | doaj.art-b76ff59b4e3c4afcbe52d81258886424 |
| institution | Directory Open Access Journal |
| issn | 0972-0820 2394-0999 |
| language | English |
| last_indexed | 2024-12-24T00:19:14Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Vascular and Endovascular Surgery |
| spelling | doaj.art-b76ff59b4e3c4afcbe52d812588864242022-12-21T17:24:39ZengWolters Kluwer Medknow PublicationsIndian Journal of Vascular and Endovascular Surgery0972-08202394-09992020-01-017436136910.4103/ijves.ijves_24_20Carotid endarterectomy 20-year experience in a low-volume centerFelipe Gerardo Rendón ElíasGabriel Anaya MedinaMarely Hernández SánchezCarlos Miguel Salas RiosGustavo Armando De La Cerda BelmontLuis Humberto Gómez DanésIntroduction: Carotid endarterectomy (CEA) is the first choice in the treatment of extracranial carotid occlusive disease but exists the controversy if this surgical procedure must be done just in center of high volume. Objective: The aim of the study is to assess if it is safe to perform CEA in a low-volume center and trying to answer some controversial questions about the preoperative, transoperative, and postoperative management. Design: This was a retrospective and observational case study. Patients and Methods: Details of 328 consecutive patients operated upon for carotid stenosis from September 1998 to December 2018 were analyzed. Results: Perioperative mortality was 0%. Perioperative neurological morbidity was 0.6% with major strokes and 1.2% minor strokes and transient lesions of cranial nerves were 4%, and there was no reoperation for bleeding or thrombosis. Conclusion: The zero percent mortality and low complication rate in our hospital are related to improved preoperative patients' evaluation, surgeons' increasing experience, and to surgical and anesthesiologic technique, so following a strict protocol, performing a CEA in a low-volume center is safe.http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2020;volume=7;issue=4;spage=361;epage=369;aulast=carotid endarterectomycarotid artery diseases/mortality/surgerycarotid stenosis/surgerycarotid endarterectomy outcomes |
| spellingShingle | Felipe Gerardo Rendón Elías Gabriel Anaya Medina Marely Hernández Sánchez Carlos Miguel Salas Rios Gustavo Armando De La Cerda Belmont Luis Humberto Gómez Danés Carotid endarterectomy 20-year experience in a low-volume center Indian Journal of Vascular and Endovascular Surgery carotid endarterectomy carotid artery diseases/mortality/surgery carotid stenosis/surgery carotid endarterectomy outcomes |
| title | Carotid endarterectomy 20-year experience in a low-volume center |
| title_full | Carotid endarterectomy 20-year experience in a low-volume center |
| title_fullStr | Carotid endarterectomy 20-year experience in a low-volume center |
| title_full_unstemmed | Carotid endarterectomy 20-year experience in a low-volume center |
| title_short | Carotid endarterectomy 20-year experience in a low-volume center |
| title_sort | carotid endarterectomy 20 year experience in a low volume center |
| topic | carotid endarterectomy carotid artery diseases/mortality/surgery carotid stenosis/surgery carotid endarterectomy outcomes |
| url | http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2020;volume=7;issue=4;spage=361;epage=369;aulast= |
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