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Pregled bibliografske jedinice broj: 106476

Časopis

Autori: Grga, Ante; Hebrang, Andrija; Brkljačić, Boris; Hlevnjak, Dubravko; Šarlija, Mirko
Naslov: Asymptomatic carotid stenosis: selective or routine use of intraluminal shunt.
Izvornik: Journal of Cardiovascular Surgery (0021-9509) 42 (2001), 5; 657-662
Vrsta rada: članak
Ključne riječi: endareterectomy; carotid; postoperative complications; carotid stenosis; surgery - carotid artery; internal
Sažetak:
Background: To evaluate the use of temporary intraluminal shunt (IS) during operations in our patients for asymptomatic carotid stenosis (ACS) of the internal carotid artery (ICA). Methods: Complications of ICA endarterectomy were reviewed in two groups of asymptomatic patients. In group A (144 patients, operation 1972-1985) temporary IS was used in 43 patients with the intraoperatively measured ICA back pressure <50 mmHg. In group B (170 patients, operation 1986-1998) shunt was used in all cases. Results: The incidence of neurologic deficit was higher ia group A than in group B (5.6% vs 1.2%, p<0.05). Within group A, the incidence of neurologic deficit was significantly higher in the subgroup with back pressure >50 mmHg, and thus without shunt, than in group B with routine use of shunt (6.0% vs 1.2%, p<0.05). There were no differences in the incidence of shunt-related complications between the groups (3.0% vs 4.0%, p>0.05). We had no mortality after operations of asymptomatic patients. Conclusions: The routine use of IS reduced the rate of intraoperative and early postoperative neurologic complications of asymptomatic carotid endarterectomy, and it was not associated with a higher incidence of complications.
Projekt / tema: 108091, 044003
Izvorni jezik: ENG
Rad je indeksiran u
bazama podataka:
Current Contents Connect (CCC)
MEDLINE
Scopus
SCI-EXP, SSCI i/ili A&HCI
Science Citation Index Expanded (SCI-EXP) (sastavni dio Web of Science Core Collectiona)
Kategorija: Znanstveni
Znanstvena područja:
Kliničke medicinske znanosti,Javno zdravstvo i zdravstvena zaštita
URL cjelovitog teksta:
Google Scholar: Asymptomatic carotid stenosis: selective or routine use of intraluminal shunt.



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