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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 137 - 144 (8page)
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초록· 키워드
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Purpose: Traditional longitudinal incision for carotid endarterectomy (CEA) can be painful, aesthetically displeasing, and associated with a high incidence of cranial nerve injury (CNI). This study describes the outcomes of CEA performed through small (<5 cm long), transversely oriented incisions located directly over the carotid bifurcation, as identified by color-enhanced duplex ultrasound. Materials and Methods: Patient demographics and operative data were collected retrospectively from an in-house database of consecutive vascular patients undergoing CEA with a small transversely oriented incision for both symptomatic and asymptomatic carotid artery stenoses. Results: A total of 52 consecutive patients underwent CEA between 2012 and 2016 (median age, 73.5 years; interquartile range, 67-80.3; male/female ratio, 40:12). CEA was performed under regional/local anesthesia (LA) in 48 (92.3%) patients, with 4 (7.7%) being performed under general anesthesia. One patient under LA experienced intraoperative neurological dysfunction intraoperatively (manifesting as an inability to count out loud) that resolved with insertion of shunt. One patient experienced a transient neurological event (expressive dysphasia) within the immediate postoperative period, which resolved within 6 hours. No in-hospital death or perioperative major adverse cardiovascular events were noted. Follow-up data were available for a median period of 3.1 years and for all patients. Three patients experienced strokes following discharge (2 strokes contralateral to the operated side and 1 transient ischemic attack ipsilateral to the operated side). No persistent CNIs nor bleeding complications necessitating re-exploration were reported. Conclusion: Small, transversely orientated incisions, hidden within a neck skin crease can be safely performed in the majority of patients undergoing CEA.
목차
등록된 정보가 없습니다.
참고문헌 (24)
참고문헌 신청
Boules TN / 2005 / Carotid endarterectomy remains the standard of care, even in high-risk surgical patients / Ann Surg 241:356~363
Bastounis E / 2007 / A short incision for carotid endarterectomy results in decreased morbidity / Eur J Vasc Endovasc Surg 33:652~656
Marcucci G / 2011 / Short longitudinal versus transverse skin incision for carotid endarterectomy : impact on cranial and cervical nerve injuries and esthetic outcome / J Cardiovasc Surg(Torino) 52:145~152
Zannetti S / 1998 / Role of surgical techniques and operative findings in cranial and cervical nerve injuries during carotid endarterectomy / Eur J Vasc Endovasc Surg 15:528~531
Assadian A / 2004 / Incidence of cranial nerve injuries after carotid eversion endarterectomy with a transverse skin incision under regional anaesthesia / Eur J Vasc Endovasc Surg 28:421~424
Bastounis E / 2007 / A short incision for carotid endarterectomy results in decreased morbidity / Eur J Vasc Endovasc Surg 33:652~656
Marcucci G / 2011 / Short longitudinal versus transverse skin incision for carotid endarterectomy : impact on cranial and cervical nerve injuries and esthetic outcome / J Cardiovasc Surg(Torino) 52:145~152
Zannetti S / 1998 / Role of surgical techniques and operative findings in cranial and cervical nerve injuries during carotid endarterectomy / Eur J Vasc Endovasc Surg 15:528~531
Assadian A / 2004 / Incidence of cranial nerve injuries after carotid eversion endarterectomy with a transverse skin incision under regional anaesthesia / Eur J Vasc Endovasc Surg 28:421~424
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