J Korean Surg Soc.  1998 Aug;55(2):265-273.

Carotid Endarterectomy Prospective study

• Kim GE
• Kwon TW
• Cho YP
• Kim HS

Abstract

Cerebrovascular accident remains the second most common cause of death in Korea, following combined cancer mortality. It is one of the most common causes of disability, and atherothromboembolic ischemic infarction accounts for nearly half of stroke in Korea. Carotid endarterectomy is proven to be effective in preventing stroke from internal carotid artery stenosis. The authors report the results of prospective study of 63 carotid endarterectomies, performed from September, 1995 to November, 1997 at our institution, to clarify the persisting diversity of opinions as to ideal preoperative diagnostic tests, anesthetic management, intraoperative monitoring techniques for cerebral protection, type of arterial repair, and postoperative evaluation for cerebral function. We confirmed that preoperative diagnostic tests of duplex scanning and magnetic resonance angiogram can replace the invasive conventional cerebral angiography, and observation of consciousness under regional anesthesia is the most reliable and safe method for carotid endarterectomy utilizing selective shunting, if needed.

Keyword

Cerebrovascular accident; Carotid endarterectomy

MeSH Terms

Anesthesia, Conduction
Carotid Stenosis
Cause of Death
Cerebral Angiography
Consciousness
Diagnostic Tests, Routine
Endarterectomy, Carotid*
Infarction
Korea
Monitoring, Intraoperative
Mortality
Prospective Studies*
Stroke