Akademik Veri Yönetim Sistemi
Duzce Medical Journal, cilt.12, sa.2, ss.21-23, 2010 (Scopus)
Aim: Stroke is most second reason in cardiovascular deaths and most common reason of deaths in neurologic accidents. Changing techniques in carotis endarterectomy operations defines operation necessities early and mid term fallow up. We evaluated the early and mid term results of carotis endarterectomy under deep cervical blockage in our study. Study plan: We examine the 12 patients (4 female, 8 male; mean age 67,5(52-78)) whom carotis endarterectomy was performed with longitudinal arteriotomy under locoregional anesthesia. Patient's perioperative properties and postoperative accident was noted as fist week, first month, 6th month and one year control. We searched residual and new stenosis, occlusion and false aneurysms at 3rd and 6th month Doppler ultrasonography follow up. Mean fallow up time was 4.3 months (3-12) Findings: The most clinical findings at patients were transient ischemic attack and unilateral stenosis more than 70%. 6 patients (50%) had coronary artery stenosis and 3 patients (25%) had peripheric arterial obstruction disease. Shunt was used for one patient. Mean carotid artery clamping time was 9.4±1.9 minutes. Perioperative transient left upper extremity paralyse seen at one patient. There was no death. During the fallowing time new neurologic accident, residual or new stenosis, occlusion and false aneurysm were not discovered. Results: Carotis endarterectomy is an easy, fast and effective technique under locoregional anesthesia. In most cases enough surgical area was supplied and early and mid term results of the surgery is in acceptable limits. Especially, during clamping carotid artery with bilateral severe carotis stenosis local anesthesia is comfortable for fallowing up cerebral perfusion by conscious and motor activity speaking with the patient. © 2010 Düzce Medical Journal.