A 20-year follow-up of internal carotid artery endarterectomy with bifurcation advancement.

Details

Serval ID
serval:BIB_5D2FC9980D9A
Type
Article: article from journal or magazin.
Collection
Publications
Title
A 20-year follow-up of internal carotid artery endarterectomy with bifurcation advancement.
Journal
Thoracic and Cardiovascular Surgeon
Author(s)
Nett P.C., Zund G., Prêtre R., Niederhouser U., Vogt P.R., Turina M.
ISSN
0171-6425 (Print)
ISSN-L
0171-6425
Publication state
Published
Issued date
2000
Peer-reviewed
Oui
Volume
48
Number
5
Pages
279-284
Language
english
Abstract
BACKGROUND: Carotid artery disease is a frequent cause of transient ischemic attack and of cerebral infarction. For two last decades, we have been performing endarterectomy of the internal carotid artery with bifurcation advancement.
METHODS: From January 1977 until December 1997, all records of patients who underwent internal carotid artery endarterectomy with bifurcation advancement were reviewed. Data were collected from patients charts and by a questionnaire. 160 patients (80.6% men, 19.4% women, average lifetime 65.1 year) underwent a total of 181 endarterectomies with bifurcation advancement.
RESULTS: The 30-day mortality was 1.9% and the postoperative stroke plus death rate 3.1%. The incidence of reoperations was 0.6% with an average follow up of 64 months. In one patient (0.6%), a significant restenosis of the repaired carotid artery was observed. The 1, 5 and 10 years neurological death free survival (including early mortality) was 99.3%, 97.2% and 92.5% and the overall survival (including early mortality) was 96.3%, 78.9% and 59.3% (Kaplan-Meier).
CONCLUSIONS: The technique of the internal carotid artery endarterectomy by bifurcation advancement is a safe and reliable method for improvement of cerebral blood supply. Or foreign material or autologous vein can thus be avoided. This method offers excellent long term patency and has a notable lack of late restenosis.
Pubmed
Web of science
Create date
16/12/2014 18:10
Last modification date
20/08/2019 14:15
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