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2017, Number 2

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Revista Cubana de Angiología y Cirugía Vascular 2017; 18 (2)

Characterization of surgical varians performed in patients with extracranial cerebrovascular diseases in two years

Serrano MX, Hernández SA

Language: Spanish
References: 35
Page: 154-166
PDF size: 266.37 Kb.


ABSTRACT

Objective: To characterize the surgical variants performed in hospitalized patients with extracranial cerebrovascular diseases in two years.
Methods: Prospective and descriptive study of 27 patients, regardless of age and sex, who had been operated on from cerebrovascular disease of extracranial origin. Surgical criteria, clinical condition, extracranial cerebrovascular disease that required surgery, location of the carotid lesion, surgical variants, their permeability and the post-surgery complications were all taken into account. The patients were followed-up in the outpatient service during two years.
Results: It was found that 44.4 % of patients had had a transient ischemic attack. Unilateral lesions (85.2 %) and right carotid lesions (48.1 %) were the most common. Significant association was found between the male sex and the clinical staging and the location of carotid lesions. Eversion endarterectomy was the most performed surgical technique (44.4 %). In the study, 96.3 % of operations were kept permeable up to 18 months after the surgery whereas three patients presented with re-stenosis after 24 months. In the study group, 40.7 % did not develop complications, being bleeding the most frequent one (33 %).
Conclusions: The surgical variants performed in the study time were characterized by high percentages of permeability and minimal postsurgical complications.


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