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首页> 外文期刊>Vascular and endovascular surgery >Predictors of restenosis after carotid endarterectomy: 17-year experience in a tertiary referral vascular center
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Predictors of restenosis after carotid endarterectomy: 17-year experience in a tertiary referral vascular center

机译：颈动脉内膜切除术后再狭窄的预测因素：在三级转诊血管中心的17年经验

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Introduction: Carotid endarterectomy (CEA) is a well-established surgical technique in stroke prophylaxis. Long-term followup data on restenosis or recurrent neurological symptoms in Oriental patients are unclear. Methods: Patients' notes from 1994 to 2011 were retrospectively reviewed and analyzed. A total of 301 cases of CEA were identified. Results: A lower restenosis rate was associated with the use of patch and never smokers in both univariate and multivariate analysis. Use of patch and never smokers were also found to be significantly associated with longer restenosis-free survival. Use of patch and postoperative use of statin were associated with better overall survival in both univariate and multivariate analysis. Conclusion: Use of patch and lack of smoking history are associated with less restenosis and longer restenosis-free survival. Use of patch and use of postoperative statin improves overall survival. Although restenosis after CEA is relatively common, reintervention was rarely necessary.
机译：简介：颈动脉内膜切除术（CEA）是一项预防卒中的成熟手术技术。关于东方患者再狭窄或复发性神经系统症状的长期随访数据尚不清楚。方法：回顾性分析1994年至2011年的患者笔记。共鉴定出301例CEA病例。结果：在单变量和多变量分析中，较低的再狭窄率与使用贴片和从不吸烟者有关。还发现使用贴片和从不吸烟者与无再狭窄的更长生存时间显着相关。在单变量和多变量分析中，使用斑贴和术后使用他汀类药物与更好的总体生存率相关。结论：使用贴剂和缺乏吸烟史与再狭窄较少和无再狭窄生存期较长有关。贴剂的使用和术后他汀类药物的使用可提高整体生存率。尽管CEA术后再狭窄相对普遍，但很少需要再次干预。

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