Kontrollü Arteryel Hipertansiyon Altında, Geri Kanama Kontrolü İle Şant Kullanılmadan Yapılan Karotis Endarterektomi; Tek Bir Merkezin Deneyimleri

Cilt: 37 Sayı: 1 1 Mart 2011
  • Murat Biçer
  • Davit Saba
  • Murat Yanar
  • İşık Şenkaya Sığnak
  • Mustafa Tok
  • Tolunay Sevingil
  • Atıf Yolgösteren
  • Tolga Önder
  • Mete Cengiz
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Carotid Endarterectomy With Checking Back Bleeding Under Controlled Hypertension Without Use of Shunting: Experience of A Single Center

Öz

This study reflects our experience with controlled arterial hypertension and normocapnia and controlling back bleeding in a cohort of patients who underwent carotid endarterectomy (CEA) without shunting. We reviewed retrospectively 116 consecutive CEA performed in 112 patients with controlled arterial hypertension and normocapnia under general anesthesia. CEA's were performed after assessment of pressure and color with evaluation of back-bleeding. The mean age of the patients was 64.2 ± 8.6 (47-83). The male/female ratio was 79/37 and the mean cross-clamp time was 25.63±5.1 (15-55) minutes. Thirty patients had bilateral carotid lesions with more than %70 stenosis. Fourteen patients were asymptomatic (12%), and 102 had symptoms (88%). All of the CEA's were performed without intraluminal shunting. In 93 patients the arteriotomy was closed primarily (80%), in 23 patients closed with patch (20%). Neurological complication occurred within 30 days in 2 patients (1.7%). One stroke and one amaurozis fugax occurred. There was no mortality in the study population. We think that this study provides opinion for avoiding unnecessary shunting. Without shunting, maintaining a controlled hypertensive state and normocapnia and checking back bleeding from ICA enables us to perform surgery with low mortality and morbidity rates.

Anahtar Kelimeler

Ayrıntılar

Birincil Dil

İngilizce

Konular

-

Bölüm

-

Yazarlar

Murat Biçer Bu kişi benim

Davit Saba Bu kişi benim

Murat Yanar Bu kişi benim

İşık Şenkaya Sığnak Bu kişi benim

Mustafa Tok Bu kişi benim

Tolunay Sevingil Bu kişi benim

Atıf Yolgösteren Bu kişi benim

Tolga Önder Bu kişi benim

Mete Cengiz Bu kişi benim

Yayımlanma Tarihi

1 Mart 2011

Gönderilme Tarihi

1 Mart 2011

Kabul Tarihi

-

Yayımlandığı Sayı

Yıl 2011 Cilt: 37 Sayı: 1

Kaynak Göster

APA
Biçer, M., Saba, D., Yanar, M., Sığnak, İ. Ş., Tok, M., Sevingil, T., Yolgösteren, A., Önder, T., & Cengiz, M. (2011). Carotid Endarterectomy With Checking Back Bleeding Under Controlled Hypertension Without Use of Shunting: Experience of A Single Center. Journal of Uludağ University Medical Faculty, 37(1), 1-5. https://izlik.org/JA38BJ69RY
AMA
1.Biçer M, Saba D, Yanar M, vd. Carotid Endarterectomy With Checking Back Bleeding Under Controlled Hypertension Without Use of Shunting: Experience of A Single Center. Uludağ Tıp Derg. 2011;37(1):1-5. https://izlik.org/JA38BJ69RY
Chicago
Biçer, Murat, Davit Saba, Murat Yanar, vd. 2011. “Carotid Endarterectomy With Checking Back Bleeding Under Controlled Hypertension Without Use of Shunting: Experience of A Single Center”. Journal of Uludağ University Medical Faculty 37 (1): 1-5. https://izlik.org/JA38BJ69RY.
EndNote
Biçer M, Saba D, Yanar M, Sığnak İŞ, Tok M, Sevingil T, Yolgösteren A, Önder T, Cengiz M (01 Mart 2011) Carotid Endarterectomy With Checking Back Bleeding Under Controlled Hypertension Without Use of Shunting: Experience of A Single Center. Journal of Uludağ University Medical Faculty 37 1 1–5.
IEEE
[1]M. Biçer vd., “Carotid Endarterectomy With Checking Back Bleeding Under Controlled Hypertension Without Use of Shunting: Experience of A Single Center”, Uludağ Tıp Derg, c. 37, sy 1, ss. 1–5, Mar. 2011, [çevrimiçi]. Erişim adresi: https://izlik.org/JA38BJ69RY
ISNAD
Biçer, Murat - Saba, Davit - Yanar, Murat - Sığnak, İşık Şenkaya - Tok, Mustafa - Sevingil, Tolunay - Yolgösteren, Atıf - Önder, Tolga - Cengiz, Mete. “Carotid Endarterectomy With Checking Back Bleeding Under Controlled Hypertension Without Use of Shunting: Experience of A Single Center”. Journal of Uludağ University Medical Faculty 37/1 (01 Mart 2011): 1-5. https://izlik.org/JA38BJ69RY.
JAMA
1.Biçer M, Saba D, Yanar M, Sığnak İŞ, Tok M, Sevingil T, Yolgösteren A, Önder T, Cengiz M. Carotid Endarterectomy With Checking Back Bleeding Under Controlled Hypertension Without Use of Shunting: Experience of A Single Center. Uludağ Tıp Derg. 2011;37:1–5.
MLA
Biçer, Murat, vd. “Carotid Endarterectomy With Checking Back Bleeding Under Controlled Hypertension Without Use of Shunting: Experience of A Single Center”. Journal of Uludağ University Medical Faculty, c. 37, sy 1, Mart 2011, ss. 1-5, https://izlik.org/JA38BJ69RY.
Vancouver
1.Murat Biçer, Davit Saba, Murat Yanar, İşık Şenkaya Sığnak, Mustafa Tok, Tolunay Sevingil, Atıf Yolgösteren, Tolga Önder, Mete Cengiz. Carotid Endarterectomy With Checking Back Bleeding Under Controlled Hypertension Without Use of Shunting: Experience of A Single Center. Uludağ Tıp Derg [Internet]. 01 Mart 2011;37(1):1-5. Erişim adresi: https://izlik.org/JA38BJ69RY

ISSN: 1300-414X, e-ISSN: 2645-9027

Uludağ Üniversitesi Tıp Fakültesi Dergisi "Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License" ile lisanslanmaktadır.


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Journal of Uludag University Medical Faculty is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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