Is Carotid Artery Stent Procedure an Alternative to Carotid Endarterctomy with Regional Anesthesia Using Selective Shunt

  • Ecevit A
  • Akay H
  • Aslım E
  • et al.
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Abstract

Aim: In this study, 82 patients who were treated with carotid endarterectomy and 39 patients who were treated with stent due to carotid artery stenosis in between 2001- 2009 were evaluated retrospectively and compared. Patients and Methods: Carotid artery stenting was performed by interventioanl radiology team in angiography suit. All the endarterectomy procedures were performed by the same cardiovascular sugery team. Operation times, mortality, morbidity, hospital stay times and cost analysis were calculated, recorded and compared between surgery and stent groups. Results: The number of early complications in surgery patients was 4 patients with hemorraghia (4,9%) and 10 patients in stent group (25.6%) with hemiparesia, hemiplegia, hemorraghia and disphasia. Although there was no cerebrovascular event in surgery group, in stent group 10 patients had cerebrovascular event. (P<0.001). Mortality occurred in 2 and 5 patients in surgery (2.5%) and stent (12.5%) groups respectively. The mean intensive care unit stay time in surgery and stent groups were 1.24±1,77 and 2.5±1,76 and hospital stay time in surgery and stent groups were 1.75±0,88 and 3.79±4,0 respectively. In financial analysis total costs for surgery group was 2800 Turkish liras and in stent group 3756.41 Turkish liras (P<0.001). Conclusion: Carotid endarterectomy with regional anesthesia is a safer and cheaper treatment modality with lower rates of mortality and morbidity when compared with carotid artery stenting. Big randomized series in future studies will give more detailed information about the feasibility of these two treatment modalities.

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Ecevit, A. N., Akay, H. T., Aslım, E., Harman, A., Özyer, U., Özçobanoğlu, S., … Aşlamacı, S. (2013). Is Carotid Artery Stent Procedure an Alternative to Carotid Endarterctomy with Regional Anesthesia Using Selective Shunt. Journal of the American College of Cardiology, 62(18), C100. https://doi.org/10.1016/j.jacc.2013.08.309

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