Department of Surgery, Herzzentrum Deutsches Hospital, Buenos Aires, Argentina.
Neuroscience Department, Deutsches Hospital, Buenos Aires, Argentina.
Acta Chir Belg. 2021 Dec;121(6):398-404. doi: 10.1080/00015458.2020.1798112. Epub 2020 Jul 25.
Long-term benefit of carotid endarectomy has not yet been fully investigated in average volume centers. Thus our purpose is to evaluate long-term results of carotid endarterectomies at a medium-volume hospital.
A retrospective analysis of carotid artery stenosis operated between 2008 and 2017 in a community hospital was done. Demographic and postoperative outcomes were evaluated in short and long-term by Kaplan-Meier survival analysis.
167 procedures in 159 patients were included. Average age was 72 years, and 65% were men. Twenty-nine percent of the patients were symptomatic and the rest asymptomatic. Median hospitalization was 3 (IQR 3-4) days and the mean follow-up was 56 months. No hospital mortality was recorded. At 120-month follow-up, freedom of stroke was 97.4%, death 97.3%, restenosis, 98.7% and all combined events 92.9% (log rank = .042) Combined event-free survival was 84.4% in symptomatic patients, and 96.1% in asymptomatic patients (log rank = .025).
In a medium-volume hospital combined event-free survival was 84.4% in symptomatic patients and 96.1% in asymptomatic at a 10-year follow-up.
颈动脉内膜切除术的长期获益在平均容量中心尚未得到充分研究。因此，我们的目的是评估中等容量医院颈动脉内膜切除术的长期结果。
对 2008 年至 2017 年间在社区医院接受颈动脉狭窄手术的患者进行回顾性分析。通过 Kaplan-Meier 生存分析评估短期和长期的人口统计学和术后结果。
共纳入 159 例患者的 167 例手术。平均年龄为 72 岁，65%为男性。29%的患者有症状，其余为无症状。中位住院时间为 3 天（IQR 3-4），平均随访时间为 56 个月。无院内死亡。120 个月随访时，卒中无复发率为 97.4%，死亡率为 97.3%，再狭窄率为 98.7%，所有复合事件发生率为 92.9%（对数秩检验 = 0.042）。症状性患者的无复合事件生存率为 84.4%，无症状患者为 96.1%（对数秩检验 = 0.025）。
在中等容量医院，10 年随访时，症状性患者的无复合事件生存率为 84.4%，无症状患者为 96.1%。
