Ekstrakranial Karotis Arter Hastalığına Uygulanan Endarterektomi Kısa Dönem Sonuçları
Amaç: Yakın zamanda yayınlanan karotis arter darlığı tedavisindeki çalışmalar eski sonuçlarla çelişmektedir. Bazı uzmanlar, bu bulguların asemptomatik hastalarda karotis revaskülarizasyona (karotis endarterektomi veya karotis stentleme) konservatif yaklaşımı desteklediğini ifade etmektedir. Bu çalışmanın amacı karotis endarterektomi sonuçlarının preoperatif semptom durumuna dayalı olarak incelenmesidir.
Short Term Outcomes of Endarterectomy to Asymptomatic Extracranial Carotid Artery Disease
Aim: Recently published papers regarding the treatment of carotid artery stenosis are in contradiction with previous trials. Some experts have argued that this evidence supports a conservative approach to carotid revascularization (carotid endarterectomy or carotid stenting) in asymptomatic patients. The objective of this study is to evaluate outcomes of carotid endarterectomy based on preoperative symptom status.
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- North American Symptomatic Carotid Endarterectomy Trial Collaborators, Barnett HJM, Taylor DW, Haynes RB, Sackett DL, Peerless SJ, et al. Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis. N Engl J Med. 1991;325(7):445-53.
- Pessin MS, Duncan GW, Mohr JP, Poskanzer DC. Clinical and angiographic features of carotid transient ischemic attacks. N Engl J Med. 1977;296(7):358-62.
- Mohr JP, Caplan LR, Melski JW, Goldstein RJ, Duncan GW, Kistler JP, et al. The Harvard Cooperative Stroke Registry: a prospective registry. Neurology. 1978;28(8):754-62.
- Russo LS Jr. Carotid system transient ischemic attacks: clinical, racial, and angiographic correlations. Stroke. 1981;12(4):470-3.
- Dodick DW, Meissner I, Meyer FB, Cloft HJ. Evaluation and management of asymptomatic carotid artery stenosis. Mayo Clin Proc. 2004;79(7):937-44.
- Shanik GD, Moore DJ, Leahy A, Grouden MC, Colgan MP. Asymptomatic carotid stenosis: a benign lesion? Eur J Vasc Surg. 1992;6(1):10-5.
- Kurvers HAJM, van der Graaf Y, Blankensteijn JD, Visseren FLJ, Eikelboom BC, SMART Study Group. Screening for asymptomatic internal carotid artery stenosis and aneurysm of the abdominal aorta: comparing the yield between patients with manifest atherosclerosis and patients with risk factors for atherosclerosis only. J Vasc Surg. 2003;37(6):1226-33.
- European Carotid Surgery Trialists’ Collaborative Group. MRC European Carotid Surgery Trial: Interim results for symptomatic patients with severe (70-99%) or with mild (0-29%) carotid stenosis. Lancet 1991;337(8752):1235-43.
- Paciaroni M, Eliasziw M, Kappelle LJ, Finan JW, Ferguson GG, Barnett HJ. Medical complications associated with carotid endarterectomy. North American Symptomatic Carotid Endarterectomy Trial (NASCET). Stroke. 1999;30(9):1759-63.
- Thomas DJ. Protected carotid artery stenting versus endarterectomy in high-risk patients reflections from SAPPHIRE. Stroke. 2005;36(4):912-3.
- Goessens BMB, Visseren FLJ, Kappelle LJ, Algra A, van der Graaf Y. Asymptomatic carotid artery stenosis and the risk of new vascular events in patients with manifest arterial disease: the SMART study. Stroke. 2007;38(5):1470-5.
- O'Neill L, Lanska DJ, Hartz A. Surgeon characteristics associated with mortality and morbidity following carotid endarterectomy. Neurology. 2000;55(6):773-81.
- Kumamaru H, Jalbert JJ, Nguyen LL, Gerhard-Herman MD, Williams LA, Chen CY, et.al. Surgeon case volume and 30-day mortality after carotid endarterectomy among contemporary medicare beneficiaries: before and after national coverage determination for carotid artery stenting. Stroke. 2015;46(5):1288-94.
- Galyfos G, Tsioufis C, Theodorou D, Katsaragakis S, Zografos G, Filis K. Cardiac troponin I after carotid endarterectomy in different cardiac risk patients. J Stroke Cerebrovasc Dis. 2015;24(3):711-7.
- Spence JD. Management of asymptomatic carotid stenosis. Neurol Clin. 2015;33(2):443-57.
- Chimowitz MI, Weiss DG, Cohen SL, Starling MR, Hobson RW 2nd. Cardiac prognosis of patients with carotid stenosis and no history of coronary artery disease. Veterans Affairs Cooperative Study Group 167. Stroke. 1994;25(4):759-65.
- Marquardt L, Geraghty OC, Mehta Z, Rothwell PM. Low risk of ipsilateral stroke in patients with asymptomatic carotid stenosis on best medical treatment: a prospective, population-based study. Stroke. 2010;41(1):e11-7.
- Abbott AL. Medical (nonsurgical) intervention alone is now best for prevention of stroke associated with asymptomatic severe carotid stenosis: results of a systematic review and analysis. Stroke. 2009;40(10):e573-83.
- Naylor AR, Ricco JB, de Borst GJ, Debus S, de Haro J, Halliday A. Editor’s choice - management of atherosclerotic carotid and vertebral artery disease: 2017 clinical practice guidelines of the European Society for Vascular Surgery (ESVS). Eur J Vasc Endovasc Surg. 2018;55(1):3-81.
- Hobson RW 2nd, Weiss DG, Fields WS, Goldstone J, Moore WS, Towne JB, Wright CB. Efficacy of carotid endarterectomy for asymptomatic carotid stenosis. The Veterans Affairs Cooperative Study Group. N Engl J Med. 1993;328(4):221-7.
- Endarterectomy for asymptomatic carotid artery stenosis. Executive Committee for the Asymptomatic Carotid Atherosclerosis Study. JAMA. 1995;273(18):1421-8.
- Halliday A, Mansfield A, Marro J, Peto C, Peto R, Potter J, et al. Prevention of disabling and fatal strokes by successful carotid endarterectomy in patients without recent neurological symptoms: randomised controlled trial. Lancet. 2004;363(9420):1491-502.
- ACST-2 Collaborative Group, Halliday A, Bulbulia R, Gray W, Naughten A, den Hartog A, Delmestri A, et al. Status update and interim results from the asymptomatic carotid surgery trial-2 (ACST-2). Eur J Vasc Endovasc Surg. 2013;46(5):510-8.
- Ferguson GG, Eliasziw M, Barr HW, Claget GP, Barnes RW, Wallace MC, et al. The North American Symptomatic Carotid Endarterectomy Trial: surgical results in 1415 patients. Stroke. 1999;30(9):1751-8.