Standard carotid endarterectomy with Dacron patch angioplasty, risks and outcomes : risks and outcomes

Abstract EN

Objective : The aim of this study was to assess the different risk factors and their impact on the final outcome of standard carotid endarterectomy with dacron patch angioplasty.

Methods : From January 1998 to December 2002, 805 (488 males, 317 females) patients underwent standard carotid endarterectomy with dacron patch angioplasty at Texas Heart Institute.

The mean age was 69.5 years (range 34-93 years).

The primary outcomes were combined same-admission stroke / death and 30-day mortality rate.

While the secondary outcomes were same-admission perioperative transient ischemic attack, cranial nerve injuries, myocardial infarction and take back to secure hemostasis.

Results : There were 13 (1.6%) cases of same-admission stroke / death, and a total of 5 (0.6%) 30-day deaths.

Ten (1.2%) patients had postoperative transient ischemic attack.

Furthermore, 7(0.9%) patients had cranial nerve injury.

Two patients experienced acute myocardial infarction, and 14 (1.7%) patients were taken back to the operating theater to secure hemostasis.

Conclusions : Standard carotid endarterectomy with dacron patch angioplasty is associated with low rates of morbidity and death, with reasonable outcomes in most patients.