Berk ARAPİ, Caner ARSLAN, Hasan TÜZÜN, Safa GÖDE, Kazım BEŞİRLİ

Karotis endarterektomide eksternal juguler ven yama plastinin orta ve uzun dönem sonuçları

Bu çalışmada karotis endarterektomide eksternal juguler ven yama plastinin orta ve uzun dönem sonuçları bildirildi.Çalışmaplanı:Son 12 yıl içinde eksternal juguler ven yama plasti ile karotis endarterektomi yapılan 23 hasta (14 erkek, 9 kadın, ort. yaş 67.56 yıl; dağılım 49-81 yıl) nörolojik olaylar ve tekrar daralma açısından rutin olarak takip edildi. Erken kontrol sonrasında, rutin kontrole tekrar daralma saptanması için dupleks ultrasonografi eklendi.Bul gu lar: Bir hasta pnömoni ve sepsis nedeni ile erken dönemde kaybedildi. Geç dönemde iki hasta doğrudan ameliyata bağlı olmayan çeşitli nedenlerle kaybedildi. Bir hastada minör inme gelişti; ancak ameliyat edilen karotis arter olaydan sorumlu değildi. Asemptomatik üç hastada (%15) dupleks ultrasonografi ile hafif ve orta derecede tekrar daralma saptandı.So nuç: Özellikle çok damarlı aterosklerotik hastalarda eksternal juguler ven, safen ven ve sentetik yama işlemlerine iyi bir alternatiftir

Mid- and long-term results of external jugular vein patch plasty in carotid endarterectomy

This study aims to report mid- and longterm results of external jugular vein patch plasty in carotid endarterectomy.Methods: Twenty-three patients (14 males, 9 females, mean age 67.56 years; range 49 to 81 years) who underwent carotid endarterectomy with external jugular vein patch plasty within the past 12 years were routinely followed for neurological events and restenosis. After early control, duplex ultrasonography was added to the routine controls to detect restenosis.Results: One patient died due to pneumonia and sepsis in the early period. Two patients died due to several causes which were not directly related to surgery in the late period. One patient had minor stroke; however, the operated carotid artery was not responsible for the event. Duplex ultrasonography showed mild to moderate restenoses in three asymptomatic patients (15%).Conclusion: External jugular vein is a good alternative to saphenous vein and synthetic patching in multivascular atherosclerotic patients, in particular

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