지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Journal of the Korean Surgical Society Vol.84 No.4
- 발행연도
- 2013.4
- 수록면
- 238 - 244 (7page)
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초록· 키워드
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Purpose: To evaluate shunt rate and discuss the resultsrelated to selective shunt placement during carotid endarterectomy (CEA) using routine awake test. Methods: Patients with CEA from 2007 to 2011 were retrospectively reviewed from prospectively collected data. The need for shunt placement was determined by the awake test, based on the alteration in the neurologic examination. We collected data by using the clinical records and imaging studies, and investigated factors related to selective shunt such as collateral circulation and contralateral internal carotid artery (ICA) stenosis. Results: There were 45 CEAs under regional anesthesia with the awake test in 44 patients. The mean age was 61.8 ± 7.1 years old. There were 82.2% (37/45) of males, and 68.9% (31/45) of symptomatic patients. Selective shunt placement had been performed in only two (4.4%) patients. Among them fewer cases (4%) had severe (stenosis ＞70%) contralateral ICA lesions, and more cases (91%) of complete morphology of the anterior or posterior circulation in the circle of Willis. There was no perioperative stroke, myocardial infarctionor death, and asymptomatic new brain lesions were detected in 4 patients (9%), including 2 cases of selective shunt placement. Conclusion: CEA under routine awake test could besafe and feasible method with low shunt placement rate in selected patients.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (30)
참고문헌 신청
1. [학술지(정기간행물)] - Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis / 1991 / North American Symptomatic Carotid Endarterectomy Trial Collaborators / N Engl J Med 325 : 445 ~ 453
2. [학술지(정기간행물)] - Frawley JE / 1996 / Carotid endarterectomy without a shunt for symptomatic lesions associated with contralateral severe stenosis or occlusion / J Vasc Surg 23 : 421 ~ 427
3. [학술지(정기간행물)] - Hertzer NR / 1997 / Early outcome assessment for 2228 consecutive carotid endarterectomy procedures: the Cleveland Clinic experience from 1989 to 1995 / J Vasc Surg 26 : 1 ~ 10
4. [학술지(정기간행물)] - 이경복 / 2009 / 경동맥 내막절제술 후 조기 합병증(＜30일) 발생에 대한 고찰 및 술 후 뇌경색 발생 위험인자 분석 / 대한외과학회지 77 (3) : 195 ~ 201
5. [학술지(정기간행물)] - Gumerlock MK / 1988 / Carotid endarterectomy: to shunt or not to shunt / Stroke 19 : 1485 ~ 1490
2. [학술지(정기간행물)] - Frawley JE / 1996 / Carotid endarterectomy without a shunt for symptomatic lesions associated with contralateral severe stenosis or occlusion / J Vasc Surg 23 : 421 ~ 427
3. [학술지(정기간행물)] - Hertzer NR / 1997 / Early outcome assessment for 2228 consecutive carotid endarterectomy procedures: the Cleveland Clinic experience from 1989 to 1995 / J Vasc Surg 26 : 1 ~ 10
4. [학술지(정기간행물)] - 이경복 / 2009 / 경동맥 내막절제술 후 조기 합병증(＜30일) 발생에 대한 고찰 및 술 후 뇌경색 발생 위험인자 분석 / 대한외과학회지 77 (3) : 195 ~ 201
5. [학술지(정기간행물)] - Gumerlock MK / 1988 / Carotid endarterectomy: to shunt or not to shunt / Stroke 19 : 1485 ~ 1490
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UCI(KEPA) : I410-ECN-0101-2014-510-003019589