Does severe contralateral carotid artery stenosis affect the outcomes of carotid endarterectomy?

Deşer, Serkan Burç; Demirağ, Mustafa Kemal; Kolbakir, F.

doi:10.5606/tgkdc.dergisi.2019.15878

Cited by 3 publications

(3 citation statements)

References 27 publications

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“…[8] Carotid artery stenosis alone is an important disease which may lead to serious morbidity and fatal results. [9,10] It is, therefore, of utmost importance to reveal concomitant significant CAS in patients undergoing open heart surgery. The presence of signif icant preoperative CAS may lead to postoperative neurological complications.…”

Section: Discussionmentioning

confidence: 99%

The evaluation of predictive values of routine blood parameters for carotid artery disease in patients undergoing coronary artery bypass grafting

Tercan¹

2020

Turk J Vasc Surg

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Objectives: In this study, we aimed to investigate the value of inflammatory biomarkers and atherogenicity index in predicting concomitant carotid artery stenosis (CAS) in patients undergoing coronary artery bypass grafting (CABG). Patients and methods:A total of 257 patients (163 males, 94 females; mean age 59.2±8 years; range, 33 to 75 years) admitted to our clinic and scheduled for isolated CABG between January 2016 and January 2019 were retrospectively analyzed. The patients were divided into two groups according to preoperative evaluation as those without significant CAS (Group 1, n=218) and those with CAS (≥50%) (Group 2, n=39). Results:The mean age was 55.9±7.9 in Group 1 and 65.7±9.4 in Group 2 (p<0.001). The mean platelet volume, neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio, and triglyceride-to-high-density lipoprotein cholesterol (TG/HDL-C) ratio were significantly higher in Group 2 (p=0.021, p=0.016, p=0.038, and p<0.001, respectively). In the multivariate analysis, age (odds ratio [OR]: 1.645, 95% confidence interval [CI]: 1.174-3.432, p=0.005), three-vessel/left main coronary artery disease (OR: 0.779, CI 95%: 0.576-0.912, p=0.021), and TG/HDL-C ratio (OR: 1.334, CI 95%: 1.190-2.785, p=0.015) were found to be independent predictors of concomitant significant CAS. Conclusion:Based on our study results, TG/HDL-C ratio, which can be measured from routine blood parameters, may be a useful predictor in predicting concomitant significant CAS in patients undergoing CABG.

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Section: Discussionmentioning

confidence: 99%

The evaluation of predictive values of routine blood parameters for carotid artery disease in patients undergoing coronary artery bypass grafting

Tercan¹

2020

Turk J Vasc Surg

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“…Carotid endarterectomy (CEA) is performed in order to prevent disability or fatal stroke in patients with carotid stenosis. The main goal of CEA is to successfully remove atherosclerotic plaque and to reconstruct the carotid artery without perioperative complications [1][2][3][4]. Patients with carotid stenosis may be asymptomatic, have transient ischemic attacks or minor stroke.…”

Section: Introductionmentioning

confidence: 99%

Local or general anesthesia for carotid endarterectomy: Which anesthesia technique should be preferred?

Çayır¹,

Yüksel²

2020

Journal of Surgery and Medicine

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Aim: Carotid endarterectomy is performed in order to prevent disability or fatal stroke in patients with carotid stenosis. The objective of this study was to analyze and compare patients undergoing carotid endarterectomy under general or local anesthesia, and to determine whether the local anesthesia method is superior to general anesthesia in terms of postoperative morbidity and mortality. Methods: A total of 80 patients who underwent carotid endarterectomy due to significant carotid arterial stenosis under general or local anesthesia in the cardiovascular surgery clinic of our hospital between November 2016 and January 2019 were included in this prospective cohort study. Forty carotid endarterectomy operations were performed under general anesthesia and 40 under local anesthesia. The study groups were divided as the general anesthesia group and local anesthesia group. Both groups were compared in terms of sociodemographic characteristics, preoperative risk factors, postoperative complications, operation time and length of hospital stay. Results: No statistically significant difference was found between the two groups in terms of age and gender (P=0.665, P=0.636; respectively). The groups were similar in terms of the rate of asymptomatic patients, stroke or myocardial infarction, postoperative complications including minor stroke, cranial nerve damage, hematoma and internal carotid artery occlusion (P=0.264, P=0.780,P=1.000, P=0.870, P=0.870, P=1.000, P=0.723, respectively). The mean operation time and length of hospital stay were statistically significantly shorter in the local anesthesia group compared to general anesthesia group (P<0.001, P=0.655; respectively). Conclusion: Local anesthesia provided shorter operation time and length of hospital stay for carotid endarterectomy procedure. Further comprehensive prospective studies are needed to clarify benefits of the use of local anesthesia for carotid endarterectomy.

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“…It is a fabrication technique used to transform digital images into physical objects in a layer-by-layer approach where images from CT or MRI (digital imaging and communication in medicine [DICOM] files) are converted to a standard tessellation language (STL) file by software and finally printed by stereolithography (a special form of laser printing). [17][18][19][20][21][22][23][24] This software also enables us to make more accurate surfaceto-surface virtual measurements without printing. Although anatomical studies for educational purposes with 3D printing have been done in carotid arteries, there is no studies available regarding pre-procedural planning, practicing, and device selection.…”

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confidence: 99%

Evaluation of 3D printed carotid anatomical models in planning carotid artery stenting

Göçer

Durukan

Tunç³

et al. 2020

Turk Gogus Kalp Dama

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Karotis arter stent planlamasında 3D baskılı anatomik karotis modellerin değerlendirilmesi ÖZ Amaç: Bu çalışmada üç boyutlu baskılı anatomik modellerin işlem öncesi planlanan, uygulama ve karotis arter stent ve emboli önleme cihazının boyut ve yerleşiminin belirlenmesindeki muhtemel rolü araştırıldı. Ça lış ma pla nı: Ocak 2017-Şubat 2019 tarihleri arasında emboli önleme cihazı ile karotis arter stentleme yapılan toplam 16 hasta (10 erkek, 6 kadın; ort. yaş 75.6±4.7 yıl; dağılım, 68-81 yıl) retrospektif olarak incelendi. Boyut, distal önleme cihazı kullanılarak aynı marka stent ile işlem sırası yapılan anjiyografi sonuçlarına göre belirlendi. Tanıda kullanılan işlem öncesi bilgisayarlı tomografi anjiyografi görüntüleri elde edildi ve üç boyutlu baskı yöntemi ile modellendi. Stent ve önleme cihazlarının boyutu ve implantasyon bölgelerine ilişkin işlem öncesi ve üç boyutlu veriler karşılaştırıldı. Bul gu lar: Stent ve emboli önleme cihazı boyutları, manuel üç boyutlu modelden ve yazılımdan segmentasyon görüntülerinden elde edilen ölçümler için benzer ve asıl kullanılanlardan küçük idi. Karotis arter darlığı oranı da, manuel ve yazılım yöntemler ile benzerdi; ancak, kantitatif anjiyografik ölçümlere kıyasla daha düşük idi. Manuel ve yazılım modelleri ile tespit edilen cihaz implantasyon yerleri, gerçekte kullanılandan farklı idi. So nuç:Üç boyutlu modeller ile işlemin planlanması ve uygulanması, operatöre bağımlı değişkenleri azaltabilir, ameliyat zamanını kısaltabilir, radyasyon maruziyetini düşürebilir ve işlem başarısını artırabilir.

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Does severe contralateral carotid artery stenosis affect the outcomes of carotid endarterectomy?

Cited by 3 publications

References 27 publications

The evaluation of predictive values of routine blood parameters for carotid artery disease in patients undergoing coronary artery bypass grafting

The evaluation of predictive values of routine blood parameters for carotid artery disease in patients undergoing coronary artery bypass grafting

Local or general anesthesia for carotid endarterectomy: Which anesthesia technique should be preferred?

Evaluation of 3D printed carotid anatomical models in planning carotid artery stenting

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