Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Carotid Endarterectomy for Carotid Stenosis : Experience of 19 Cases

경동맥 내막 절제술 : 19례의 임상 경험

  • Kim, Chae-Yong (Department of Neurosurgery, Seoul National University College of Medicine) ;
  • Oh, Chang-Wan (Department of Neurosurgery, Seoul National University College of Medicine) ;
  • Chung, Young Seob (Department of Neurosurgery, Seoul National University College of Medicine) ;
  • Kwon, O-Ki (Department of Neurosurgery, Seoul National University College of Medicine) ;
  • Han, Dae Hee (Department of Neurosurgery, Seoul National University College of Medicine)
  • 김재용 (서울대학교 의과대학 신경외과학교실) ;
  • 오창완 (서울대학교 의과대학 신경외과학교실) ;
  • 정영섭 (서울대학교 의과대학 신경외과학교실) ;
  • 권오기 (서울대학교 의과대학 신경외과학교실) ;
  • 한대희 (서울대학교 의과대학 신경외과학교실)
  • Received : 2000.03.23
  • Accepted : 2000.11.29
  • Published : 2001.03.28
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Abstract

Objective : Stroke is leading cause of death and more importantly it is cause of serious disability. The effective treatment of acute ischemic stroke still remains a challenge to modern medicine. Recent clinical trials have shown that carotid endareterctomy(CEA) provide overwhelming benefits compared with medical therapy in preventing subsequent stroke for symptomatic carotid stenosis. For the asymptomatic ones, the data are less compelling, but highly suggestive that CEA do have benefits in properly selected patients. Materials and Methods : To investigate the clinical manifestations of carotid stenosis and results of CEAs, authors analyzed retrospectively 19 CEAs in 16 patients from June 1986 to June 1999. Age of patients ranged from 55 to 76 years(median, 66) and male to female ratio was 14 to 2. The duration of follow-up was 1 to 144 months (median, 26). All of CEAs were done on the side of stenosis more than 80% and bilateral CEAs were done in three. Six CEAs were performed in asymptomatic patients. Results : Seventeen of 19 CEAs showed excellent results and complication rate was low although ipsilateral ischemic stroke occurred in two. Conclusion : CEA may be a valuable surgical treatment for ischemic stroke caused by carotid stenosis and also for prevention of stroke of asymptomatic patients with carotid stenosis.

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