The modern surgical treatment of the internal carotid artery stenosis

Written by Jáné Zoltán, Nádasi Géza, Nagy István

The surgical treatment of the internal carotid artery stenosis has changed significantly with the evolution of the diagnostic techniques, and with the introduction of carotid eversion endarterectomy by Raithel. The authors analyzed the data of the patients accumulated in the last 5 years (2001-2005). In this period 196 operations were done. The authors present their results, they show the most frequent age affected by carotid stenosis (65 years), the proportion between sexes (male:female 3:1), the rate of stenosis, the time of exclusion, the postoperative mortality. They were looking for relations between the time of exclusion and the frequency of postoperative complications, between the neurological status and the rate of stenosis. They found that, if the controlateral occlusion was present, most of the patients had brain lesions. The carotid eversion endarterectomy can be performed safely, with low postoperative complications.

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