R C Chan1, Y C Chan, G C Cheung, S W Cheng. 1. Division of Vascular and Endovascular Surgery, Department of Surgery, University of Hong Kong Medical Centre, Queen Mary Hospital, Pokfulam, Hong Kong.
Abstract
INTRODUCTION: Carotid endarterectomy (CEA) is a well-established surgical technique in stroke prophylaxis. Long-term follow-up 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.
INTRODUCTION: Carotid endarterectomy (CEA) is a well-established surgical technique in stroke prophylaxis. Long-term follow-up 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.
Authors: Miguel A Barboza; José Chang; Alvaro Hernández; Emmanuel Martínez; Huberth Fernández; Gerardo Quirós; Johanna Salazar; Allan Ramos-Esquivel; Alberto Maud Journal: J Vasc Interv Neurol Date: 2016-10
Authors: Anna-Leonie Menges; Benedikt Reutersberg; Albert Busch; Michael Salvermoser; Marcus Feith; Matthias Trenner; Michael Kallmayer; Alexander Zimmermann; Hans-Henning Eckstein Journal: World J Surg Date: 2020-08 Impact factor: 3.282