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《Academic Journal of Second Military Medical University》 2012-02
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Surgical treatment of symptomatic carotid artery stenosis and occlusion: experience with 82 cases

YE Bo1,XIA Lai-yang1,LIU Xiao-chun1,CHEN Wei-qing1,ZHAO Zhi-qing2 1.Department of Vascular Surgery,People's Hospital of Ganzhou,Affiliated Ganzhou Hospital of Nanchang University,Ganzhou 341000,Jiangxi,China 2.Department of Vascular Surgery,Changhai Hospital,Second Military Medical University,Shanghai 200433,China  
Objective To retrospectively analyze the effectiveness of different surgical methods in treatment of carotid stenoses and occlusion.Methods From Mar.2002 to Mar.2011,a total of 82 patients(87 sides) with carotid stenosis or occlusion received different treatments.Seventy-six of them received endarterectomy,including the traditional cut and sew in 6 sides(3 patching),eversion endarterectomy in 70 sides(including 2 cases receiving double-side endarterectomy).Stenting was performed on 4 sides,and bypass operation was used in 7 cases.All the patients had severe symptomatic carotid artery stenosis and occlusion(70%-100%).Results There was no stroke or death during or after the procedure.Subcutanous hematoma occurred in 4 cases,and 12 cases had the tongue inclining to the lesion side.Conclusion Individualized surgical intervention can achieve satisfactory effect in patients with symptomatic carotid artery stenosis and occlusion.
【CateGory Index】: R743.3
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