J Korean Neurosurg Soc.  2001 Mar;30(3):284-294.

Carotid Endarterectomy for Carotid Stenosis: Experience of 19 Cases

• Kim CY
• Oh CW
• Chung YS
• Kwon OK
• Han DH

Abstract

OBJECTIVES
Stroke is leading cause of death and more importantly it is cause of serious disability. The effective treatment of acute ischemic stroke still remains a challenge to modern medicine. Recent clinical trials have shown that carotid endareterctomy(CEA) provide overwhelming benefits compared with medical therapy in preventing subsequent stroke for symptomatic carotid stenosis. For the asymptomatic ones, the data are less compelling, but highly suggestive that CEA do have benefits in properly selected patients.
MATERIALS AND METHODS
To investigate the clinical manifestations of carotid stenosis and results of CEAs, authors analyzed retrospectively 19 CEAs in 16 patients from June 1986 to June 1999. Age of patients ranged from 55 to 76 years(median, 66) and male to female ratio was 14 to 2. The duration of follow-up was 1 to 144 months (median, 26). All of CEAs were done on the side of stenosis more than 80% and bilateral CEAs were done in three. Six CEAs were performed in asymptomatic patients.
RESULTS
Seventeen of 19 CEAs showed excellent results and complication rate was low although ipsilateral ischemic stroke occurred in two.
CONCLUSION
CEA may be a valuable surgical treatment for ischemic stroke caused by carotid stenosis and also for prevention of stroke of asymptomatic patients with carotid stenosis.

Keyword

Carotid stenosis; Carotid endarterectomy; Complication

MeSH Terms

Carotid Stenosis*
Cause of Death
Constriction, Pathologic
Endarterectomy, Carotid*
Female
Follow-Up Studies
History, Modern 1601-
Humans
Male
Retrospective Studies
Stroke