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 Annals of Surgical Treatment and Research Vol.87 No.4
- 발행연도
- 2014.9
- 수록면
- 192 - 196 (5page)
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초록· 키워드
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Purpose: Comparative results of conventional carotid endarterectomy (cCEA) and eversion carotid endarterectomy (eCEA) have been reported in many studies. But in Korea, there have been no reports to compare the outcome of the two techniques. Thus, we investigated the results of eCEA compared to cCEA in Yeungnam University Medical Center.
Methods: A total of 120 subjects who underwent CEA were included in this study. Of them, cCEAs were performed in 63 patients and eCEAs were performed in 57 patients. We analyzed the results divided into the early (within 30 days after surgery), midterm (from 30 days up to 1 year after surgery) and late (over 1 year after surgery).
Results: Mean age of the patients was 65.9 ± 7.1 years in cCEA group and 66.8 ± 7.7 years in eCEA group (P = 0.523). Carotid shunt frequency was higher in the cCEA group (39.7% vs. 19.3%, P = 0.015). There were no statistical differences in the early complications with the exception of a significantly higher risk for new brain lesions in the cCEA group (34.9% vs. 14.0%, P = 0.008). The frequency of complication was same between cCEA group and eCEA group in the midterm. Although there was no statistical significance, the frequency of late complications was higher in the cCEA group compared to eCEA group. Mean follow-up duration was 29.4 ± 23.5 months.
Conclusion: These data showed that eCEA was an acceptable procedure and had some advantage compared to cCEA in the aspect of the early and late complication.
Methods: A total of 120 subjects who underwent CEA were included in this study. Of them, cCEAs were performed in 63 patients and eCEAs were performed in 57 patients. We analyzed the results divided into the early (within 30 days after surgery), midterm (from 30 days up to 1 year after surgery) and late (over 1 year after surgery).
Results: Mean age of the patients was 65.9 ± 7.1 years in cCEA group and 66.8 ± 7.7 years in eCEA group (P = 0.523). Carotid shunt frequency was higher in the cCEA group (39.7% vs. 19.3%, P = 0.015). There were no statistical differences in the early complications with the exception of a significantly higher risk for new brain lesions in the cCEA group (34.9% vs. 14.0%, P = 0.008). The frequency of complication was same between cCEA group and eCEA group in the midterm. Although there was no statistical significance, the frequency of late complications was higher in the cCEA group compared to eCEA group. Mean follow-up duration was 29.4 ± 23.5 months.
Conclusion: These data showed that eCEA was an acceptable procedure and had some advantage compared to cCEA in the aspect of the early and late complication.
목차
INTRODUCTION
RESULTS
DISCUSSION
REFERENCES
참고문헌 (25)
참고문헌 신청
1. [학술지(정기간행물)] - Sobieszczyk P. / 2006 / Carotid artery disease / Circulation 114 : e244 ~ e247
2. [학술지(정기간행물)] - Petty GW. / 1999 / Ischemic stroke subtypes : a population-based study of incidence and risk factors / Stroke 30 : 2513 ~ 2516
3. [학술지(정기간행물)] - Lanzino G. / 2009 / Treatment of carotid artery stenosis : medical therapy, surgery, or stenting? / Mayo Clin Proc 84 : 362 ~ 387
4. [학술지(정기간행물)] - Eastcott HH. / 1954 / Reconstruction of internal carotid artery in a patient with intermittent attacks of hemiplegia / Lancet 267 : 994 ~ 996
5. [학술지(정기간행물)] - Fields WS. / 1970 / Joint study of extracranial arterial occlusion. V. Progress report of prognosis following surgery or nonsurgical treatment for transient cerebral ischemic attacks and cervical carotid artery lesions / JAMA 211 : 1993 ~ 2003
2. [학술지(정기간행물)] - Petty GW. / 1999 / Ischemic stroke subtypes : a population-based study of incidence and risk factors / Stroke 30 : 2513 ~ 2516
3. [학술지(정기간행물)] - Lanzino G. / 2009 / Treatment of carotid artery stenosis : medical therapy, surgery, or stenting? / Mayo Clin Proc 84 : 362 ~ 387
4. [학술지(정기간행물)] - Eastcott HH. / 1954 / Reconstruction of internal carotid artery in a patient with intermittent attacks of hemiplegia / Lancet 267 : 994 ~ 996
5. [학술지(정기간행물)] - Fields WS. / 1970 / Joint study of extracranial arterial occlusion. V. Progress report of prognosis following surgery or nonsurgical treatment for transient cerebral ischemic attacks and cervical carotid artery lesions / JAMA 211 : 1993 ~ 2003
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UCI(KEPA) : I410-ECN-0101-2015-510-002857745