Postoperative occlusion after carotid endarterectomy.
Postoperative occlusion after carotid endarterectomy.
复制标题
颈动脉内膜切除术后闭塞。
DOI：
10.1001/archsurg.1980.01380050005002
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发表时间：
1980
影响因子：
--
通讯作者：
A. Crummy
中科院分区：
文献类型：
--
作者：
W. Turnipseed;H. Berkoff;A. Crummy
对70例需要单侧颈动脉内膜切除术的有症状患者进行了无创性检查（多普勒成像和颈动脉血流频谱分析）。术前进行血管造影与非侵入性检查的相关性，术后在3年随访期间确定血流动力学变化。术后狭窄发生在9%的患者（3%早期和6%晚期）。15例患者未手术侧发生临床进展（新症状或杂音）。这15例患者中有10例在未手术的颈动脉中也有显著的血流动力学疾病进展。在4例病例中，通过非侵入性检测检测到未手术侧的临床隐匿性血流动力学疾病进展。2例发生术后闭塞导致的神经系统并发症。
Noninvasive testing (Doppler imaging and spectral analysis of carotid flow) was performed in 70 symptomatic patients who required unilateral carotid endarterectomy. Angiographic correlations were made with the noninvasive tests before surgery, and postoperatively hemodynamic changes were determined during a three-year follow-up period. Postoperative stenosis occurred in 9% (3% early and 6% late) of the patients. Clinical progression on the unoperated side (new symptoms or bruits) occurred in 15 patients. Ten of these 15 patients had significant hemodynamic progression of disease in the unoperated carotid as well. Clinically occult hemodynamic progression of disease on the unoperated side was detected by noninvasive testing in four of the cases. Neurological complications resulting from postoperative occlusion occurred in two cases.