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首页> 外文期刊>Sao Paulo Medical Journal >Ring-stripping retrograde common carotid endarterectomy: case report
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Ring-stripping retrograde common carotid endarterectomy: case report

机译：环剥逆行颈总动脉内膜切除术：病例报告

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CONTEXT: Total occlusion of the common carotid is rare and the indications and techniques for surgical treatment are still a matter of controversy. OBJECTIVE: To demonstrate the feasibility of retrograde common carotid endarterectomy. DESIGN: Retrospective case report study. SETTING: Tertiary care private hospital. PARTICIPANTS: Three patients underwent ring-stripping retrograde common carotid endarterectomy. Their ages were 81, 68 and 65 years. All were hypertensive with generalized atherosclerosis, two had diabetes mellitus, and one had undergone coronary artery bypass some years earlier and had non-dialytic chronic renal insufficiency. Symptoms of brain ischemia were present in two patients. All patients had total occlusion of the common carotid, extending from the origin to the bifurcation and localized in the right common carotid in two cases. In two cases the internal carotid artery was also occluded. MAIN MEASUREMENTS: Postoperative early mortality and stroke rate, and the medium and long-term endarterectomy patency. RESULTS: There were no deaths. One patient had a transient ischemic attack. All endarterectomies were patent after eight months, four years and seven years of follow-up. CONCLUSION: There is low mortality, and the procedure can be done through only one cervical incision. Tandem lesions of the carotid arteries can be treated together. It is suitable for long total occlusions of the common carotid, and long-term patency.
机译：背景：颈总动脉完全闭塞的情况很少，手术治疗的适应症和技术仍存在争议。目的：探讨逆行颈总动脉内膜切除术的可行性。设计：回顾性病例报告研究。单位：三级私立医院。研究对象：三例患者接受环带逆行逆行颈总动脉内膜切除术。他们的年龄分别为81、68和65岁。所有患者均患有高血压，并伴有动脉粥样硬化，其中2例患有糖尿病，其中1例在几年前接受了冠状动脉搭桥手术，并且患有非透析性慢性肾功能不全。两名患者出现脑缺血症状。所有患者均完全阻塞了颈总动脉，从起源一直延伸到分叉，并在两例中局限于右颈总动脉。在两个病例中，颈内动脉也被阻塞。主要测量指标：术后早期死亡率和中风率，以及中长期动脉内膜切除术的通畅性。结果：没有死亡。一名患者发生短暂性脑缺血发作。八个月，四年和七年的随访后，所有内膜切除术均获得专利。结论：死亡率低，仅需通过一个宫颈切口即可完成手术。颈动脉的串联病变可以一起治疗。它适合于颈总动脉的长期完全闭塞和长期通畅。

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