Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2020 , Vol 11, Issue 4
Carotid Artery Endarterectomy Without Shunting and With Primary Repair
Erhan Kaya1,Ömer Işık1
1Pendik Bölge Hastanesi, Kalp Damar Cerrahisi Servisi, İstanbul, Türkiye DOI : 10.31067/0.2020.312 Objectives: Surgical endarterectomy is recommended as the first choice in the treatment of carotid artery stenosis. Shunt application for continuity of cerebral perfusion and closure of arteriotomy with primary repair or patchplasty during surgery is varied according to clinical experience. In this article, we are reporting our experience of primary repair without shunting.

Study Design: Patients who underwent surgery for carotid artery stenosis in our clinic between 01.02.2018?30.11.018 were retrospectively analysed. Patients undergoing selective carotid artery endarterectomy were included in the study. Patients who underwent simultaneous coronary artery surgery were excluded from the study. We evaluated the perioperative and postoperative one-month follow-up of the patients.

Results: Carotid endarterectomy was performed in 27 patients during the study period. The mean age of the patients was 70.8±9 and 19 (70.4%) were male. All operations were performed without shunt and primary repair. The mean clamping time was 6.7±0.9 minutes. In the postoperative follow-up, there were hoarseness and difficulty in swallowing in 1 patient; and hemiparesis and dysarthria in 1 patient. All symptoms were disappeared within 2 weeks. There was no mortality during the hospitalization and postoperative one-month follow-up.

Conclusion: During the surgery of the carotid artery, shunting and patchplasty techniques increase the duration of surgery and manipulation. Rapid endarterectomy and primary repair of the arteriotomy might be performed safely in the experienced centers with acceptable postoperative outcomes. Keywords : Endarterectomy, carotid stenosis, primary repair, patchplasty