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Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado

2014, Number 1

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Rev Esp Med Quir 2014; 19 (1)

Postoperative complications in the early phase of carotid endarterectomy

Moreno ALA, López OFA

Language: Spanish
References: 20
Page: 3-11
PDF size: 584.84 Kb.


ABSTRACT

Background: Carotid endarterectomy as management of the carotid artery stenosis in the symptomatic and asymptomatic patient has been widely evaluated. Within the most important complications described of carotid endarterectomy, postoperative stroke reports between 1 and 5% and perioperative mortality is 0.5% to 1.8%.
Objective: To determine the postoperative complications in the early phase of the carotid endarterectomy performed at the service of Angiology and Vascular Surgery Medical Specialty, Cardiology Hospital No. 34 of the Instituto Mexicano del Seguro Social.
Patients and Methods: Observational, descriptive, retrospective and cross-sectional study that analyzed the records of consecutive patients undergoing carotid endarterectomy from January 1, 2010 to July 31, 2012. Demographic variables, as well as comorbidities, presence and type of complications in the immediate postoperative period were evaluated. Results were analyzed with measures of central tendency, X2 and Fisher’s exact test using the statistical package SPSS 19.
Results: 76 procedures were performed in 63 patients, 41 (65.1%) male patients and 22 (34.9%) female with an average age of 70 ± 7.1 years old. 7 (9.2%) patients presented vascular brain event with a mortality rate in the post-surgical on 3 (3.9%) patients. In terms of the combined rate (mortality and non-fatal stroke rate), this was presented in 13.1%. Chronic renal failure was the only variable with statistical significant correlation (p = 0.009) for the complication of postoperative cerebral vascular event.
Conclusions: Patients who are candidates for carotid endarterectomy should be valued in an integral way to individualize their treatment according to presented risk factors in order to optimize the results of the procedure and, therefore, decrease postoperative morbidity-mortality and improve their prognosis.


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