Early Outcomes of Carotid Endarterectomy: Routine Shunt Use and Patch Angioplasty under General Anesthesia

Huh Up ¹, Hyuncheol Jeong ², Sung Woon Chung ², Seunghwan Song ²

¹ Department of Thoracic and Cardiovascular Surgery, Pusan National University School of Medicine, Biomedical Research Institute, Pusan National University Hospital, Busan, Republic of Korea, Busan, Korea (South); ² Department of Thoracic and Cardiovascular Surgery, Pusan National University School of Medicine, Biomedical Research Institute, Pusan National University Hospital, Busan, Korea (South);

Date, time and location: 2018.05.25 15:30, Congress Hall, 2F–B

Abstract

Purpose: We reviewed the outcome of patientswho underwent carotid endarterectomy (CEA) to evaluate the safety and efficacy of oursurgicalstrategy. 

Methods: From June 2012 toFebruary 2014, 29 cases of CEA with routine shunt use and patch angioplasty under general anesthesia were performed. Baselinecharacteristics, operative data, surgical details, and perioperative complications were recorded. The data were prospectively collected and retrospectively reviewed. 

Results:In the early postoperative period, there was no mortality or perioperative stroke. Two peripheral nerve (one hypoglossal nerve and one recurrent laryngeal nerve) injuries occurred, but both patients recovered fully before discharge. Mean follow-up duration was 27.4±6.7 months. There was no late stroke or restenosis during follow-up. 

Conclusion: Routine shunt use and patch angioplasty under general anesthesia is a safe and effective method of carotid endarterectomy in the early and mid-term periods.