Surgical operation in the treatment of carotid stenosis (a report of 73 cases)

Objective To summarize the clinical experience of carotid endarterectomy (CEA) in the treatment of severe stenosis of internal carotid artery.Methods The clinical data of 73 patients with internal carotid artery stenosis treated by CEA in people' s hospital of Laizhou from September 2003 to September 2011 were analyzed retrospectively.Transient ischemic attack (TIA) was found in 70 patients and cerebral infarction was found in 65 patients before operations.Diagnose was confirmed by selective angiography,and ＞70％ stenosis of internal carotid artery was found in 63 patients and ＞95％ stenosis was found in 36 patients.Stenosis or occlusion of the contralateral carotid artery was also found in 26 patients.Coronary artery stenosis was confirmed in 26 patients by preoperative coronary angiography.Results After the operation,the clinical symptoms significantly improved in all patients.One case experienced hyproglosalnerve injury.One patient died of heart attack during follow-up.Conclusions CEA is an effective and safe treatment for severe stenosis of internal carotid artery. Key words: Carotid stenosis;  Endarterectomy ;  Stroke