Common Carotid Artery Occlusion: A Single-Center Experience in 40 Cases
Carregando...
Citações na Scopus
17
Tipo de produção
article
Data de publicação
2016
Título da Revista
ISSN da Revista
Título do Volume
Editora
THIEME MEDICAL PUBL INC
Autores
ABRAO, Sergio Ricardo
Citação
INTERNATIONAL JOURNAL OF ANGIOLOGY, v.25, n.1, p.39-43, 2016
Resumo
The incidence of common carotid artery occlusion (CCAO) is approximately 3% in patients who undergo angiography for symptomatic cerebrovascular disease; however, few studies have reported on management of this condition. The objective of this article was to analyze risk factors, therapeutic options, and clinical benefits of surgical treatment at a hospital in the city of Sao Paulo, Brazil. Data were collected from medical records of 40 patients with CCAO who were treated from June 2002 to October 2013. Results were analyzed retrospectively. Most of the patients were men (63.0%), who were significantly younger than women. Most of the participants had hypertension (90.0%), and more than half had a history of smoking (52.5%). The mean number of coexisting comorbidities/risk factors was 2.9 +/- 1.0. Half of our sample had ipsilateral patent internal and external carotid artery, and 32.5% presented with an occluded internal carotid artery and a patent external artery. Patients with both an internal and an external occluded carotid artery (12.5%) were significantly older. Contralateral arteriosclerosis was observed in 65% of the patients, mainly represented by 50 to 90% stenosis. Most patients were symptomatic (67.5%), and hemiparesis was the most common symptom (55.0%) found. Most (77.5%) of the patients underwent the medical treatment; one out of three endovascular approaches failed. During the mean follow-up of 55 +/- 43 months (range, 2-136 months), 17.5% of the patients died within 4 days after surgical repair and after along 123 months of clinical follow-up. Coexisting comorbidities/risk factors were significantly associated with fatal outcomes, such as acute myocardial infarction. This study provides scientific evidences on treatment and outcomes of CCAO.
Palavras-chave
carotid revascularization, common carotid artery occlusion, Rile classification, chronic stage, open surgery
Referências
- Archie JP, 1999, J VASC SURG, V30, P1106, DOI 10.1016/S0741-5214(99)70050-9
- BELKIN M, 1993, J VASC SURG, V17, P1019
- Brott TG, 2013, CATHETER CARDIO INTE, V81, pE75, DOI 10.1002/ccd.22983
- COLLICE M, 1983, NEUROSURGERY, V12, P515
- Crome O, 2007, CEREBROVASC DIS, V24, P152, DOI 10.1159/000103622
- FRY WR, 1992, J VASC SURG, V15, P83
- HASS WK, 1968, J AMER MED ASSOC, V203, P961
- Hauck EF, 2010, NEUROSURGERY, V67, P1148, DOI 10.1227/NEU.0b013e3181edaf99
- Inoue T, 2008, SURG NEUROL, V69, P620, DOI 10.1016/j.surneu.2007.01.034
- Klonaris C, 2013, EUR J VASC ENDOVASC, V46, P291, DOI 10.1016/j.ejvs.2013.06.006
- Kobayashi T, 1999, NEUROSURGERY, V45, P299, DOI 10.1097/00006123-199908000-00020
- Liapis CD, 2009, EUR J VASC ENDOVASC, V37, pS1, DOI 10.1016/j.ejvs.2008.11.006
- Linni K, 2011, EUR J VASC ENDOVASC, V41, P728, DOI 10.1016/j.ejvs.2011.02.024
- MARTIN RS, 1993, AM J SURG, V165, P302, DOI 10.1016/S0002-9610(05)80830-X
- MCGUINESS CL, 1988, AM J SURG, V155, P546, DOI 10.1016/S0002-9610(88)80408-2
- Melgar Miguel A, 2003, Neurosurg Focus, V14, pe7
- Nagasawa S, 1996, SURG NEUROL, V45, P138, DOI 10.1016/S0090-3019(96)80006-1
- Nakamura A, 2012, J ULTRAS MED, V31, P1561
- Pinter L, 2007, J VASC SURG, V46, P135, DOI 10.1016/j.jvs.2007.01.062
- Rabb CH, 2005, STROKE, V36, pE68, DOI 10.1161/01.STR.0000174191.19216.6b
- RILES TS, 1984, ANN SURG, V199, P363, DOI 10.1097/00000658-198403000-00019
- Schneider UC, 2010, NEUROSURGERY, V67, P1783, DOI 10.1227/NEU.0b013e3181fa325b
- Schubert GA, 2008, NEUROSURG REV, V31, P123, DOI 10.1007/s10143-007-0104-6
- Shirazi MH, 2011, J PAK MED ASSOC, V61, P187
- Sullivan TM, 1996, ANN VASC SURG, V10, P283, DOI 10.1007/BF02001894
- Takagi T, 2010, NEUROL MED-CHIR, V50, P998, DOI 10.2176/nmc.50.998