Scattone S, Neri A, Pintus M, Uccheddu A, Murgia C, Angioy F, Cossu L, Carau G, Cagetti M
Istituto di I Patologia Chirurgica, Università di Cagliari.
Minerva Chir. 1990 Aug;45(15-16):1013-6.
The authors report a clinical experience on 37 internal carotid endarterectomies of 33 patients classified as: group A (asymptomatic patients); 4 patients (13%), group B (RIA); 9 patients (27%), group C (stabilized neurological lesions); 19 patients (56%), group D (acute cerebral ischemia): 1 patient (3%). Sixteen thromboendarterectomies (43%) were carried on for the prophylaxis of neurological lesions, 20 (54%) to increase and balance the cerebral blood flow in patients with stable neurological lesions, 1 (3%) for acute cerebral ischemia. The overall operative mortality was 6%, the operative morbidity was 22%. The clinical follow-up concerned 26 patients: the overall mortality was 19%: in survivors the late results were excellent. The rate of postoperative stenosis was 18%: 80% of these arteries had been treated without a patch angioplasty.
作者报告了33例患者行37次颈内动脉内膜切除术的临床经验，这些患者分为：A组（无症状患者），4例（13%）；B组（可逆性缺血性神经功能障碍），9例（27%）；C组（稳定的神经功能缺损），19例（56%）；D组（急性脑缺血），1例（3%）。16例（43%）血栓内膜切除术用于预防神经功能缺损，20例（54%）用于增加和平衡有稳定神经功能缺损患者的脑血流量，1例（3%）用于急性脑缺血。总体手术死亡率为6%，手术发病率为22%。对26例患者进行了临床随访：总体死亡率为19%，存活患者的远期结果良好。术后狭窄率为18%，其中80%的动脉未行补片血管成形术治疗。
