The association between age and peroperative morbidity in carotid stenting cases

Yıl 2018, , 287 - 291, 28.12.2018

Gürdal Orhan , Ergün Dağlıoğlu

https://doi.org/10.18663/tjcl.482561

Öz

Aim: Carotid
artery stenosis is a geriatric population disease. It was considered that
advanced age is related to increased peroperative morbidity and mortality
during carotid stenting.

Material and Methods:The
study population includes 106 patients who were treated with carotid stenting
at Ankara Numune Education and Research Hospital between January 2017 and
August 2018 The aim of the study is to find the correlation between age and perioperative
morbidity and mortality rates.  

Results: The
group of patients below 55 years of age didn’t develop any morbidity except
marked hypotension in 2 patients. Patients aged over 75 did not develop any
hypotension and morbidity in this group is relatively high compared to patients
below 55 years of age. Age group between 55 and 65 developed 1 aphasia, 1
homonymous hemianopia and 1 mortality. There were 1 dyspasia, 2 hemiparesis and
1 mortality in patients between 65 and 75 years of age. Morbidity over 75 years
of age included 1 hemiparesis, 1 cranial nerve paresis and 1 mortality. No
correlation was found between age groups except patients below 55 years of age.
An increased morbidity and mortality rate was noted with advanced age though a
statistical correlation can not be applied. Hypotension was noted to decrease
with advanced age.

Conclusion: The
risk of carotid stenting below 55 years of age is minimal except hypotension
risk however perioperative morbidity and mortality is more pronounced with advanced
age without any hypotension.

Anahtar Kelimeler

carotid artery stenting, Age, perioperative morbidity

Karotis stentlemede yaş ve peroperatif morbidite İlişkisi

Öz

Amaç: Karotid
arter stenozu ileri yaş olgularda görülen bir hastalıktır. Karotid stenozu
tedavisinde uygulanan karotis stentlemede peroperatif morbidite ve mortalitenin
yaşa bağlı arttığı belirtilmektedir.

Gereç ve Yöntem: Bu
çalışmada Ankara Numune Eğitim ve Araştırma Hastanesinde 2017 Ocak ve 2018
Ağustos tarihleri arasında karotis stentleme yapılan 106 olgu analiz edilmiş
olup yaş ve risk faktörleri ile peroperatif morbidite ve mortalite ilişkisi
araştırılmıştır.

Bulgular: 106
olgunun analiz edildiği bu çalışmada 55 yaş altı görülen olgularda 2 olguda
görülen hipotansiyon dışında herhangi bir morbidite gözlenmemiştir. 75 yaş ve
üzeri olgularda ise hipotansiyon görülmemiş olup 55 yaş altı gruba göre daha
fazla morbidite mevcuttur. 55-65 yaş arası yer alan grupta ise 1 olguda afazi,
1 olguda sol homonim hemianopsi, 1 mortalite olmuştur. 65-75 yaş arası grupta
ise 2 olguda kısmi parezi, 1 olguda disfazi gözlenmiş ve 1 olguda postoperatif
eksitus olmuştur. 75 yaş üzeri grupta ise 1 olguda silik hemiparezi, 1 olguda
kranial sinir parezisi ve gözlerde deviasyon görülmüş olup postoperatif dönemde
nöbet görülen 1 olgu ise eksitus olmuştur. Yaş artışı ile birlikte peroperatif morbidite
ve mortalite oranlarında artış olduğu oransal olarak görülse de anlamlı bir
istatistiksel sonuç elde edilememektedir. Hipotansiyonun ise yaşla birlikte
azaldığı görülmektedir.

Sonuç: 55 yaş altı karotis stentlemede risk minimal
olup hipotansiyon oransal olarak fazla görülmekte, 75 yaş üzeri grupta da
hipotansiyon görülmeyip komplikasyonlar artış göstermektedir. 

Anahtar Kelimeler

Yaş, karotid arter stentleme, peroperatif morbidite

Kaynakça

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