Surgical Management of HighRisk Carotid Stenosis（Report of 24 Cases）_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

HAN Wei , FU Weiguo , WANG Yuqi , GUO Daqiao.

Department of Vascular Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China;

Corresponding author：

Keywords：

Carotid stenosisCarotid angioplasty and stentingShunt

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ObjectiveTo summarize our experience in treating highrisk carotid stenosis. MethodsWe retrospectively analyzed the clinical characteristics, treatment, and outcomes of 24 patients with highrisk carotid stenosis in our department from January 2001 with emphasis on the application of carotid stents and shunting tubes. ResultsAll patients were successfully treated, with 11 patients undergoing carotid angioplasty and stenting (CAS) and 13 patients receiving carotid endarterectomy (CEA) and shunting. No death, stroke, and ischemic neurological deficit occurred in 30 days postoperatively. ConclusionSelective application of CAS and shunting in CEA can effectively reduce complications and improve therapeutic effects in patients with highrisk carotid stenosis.

Citation： HAN Wei,FU Weiguo,WANG Yuqi,GUO Daqiao.. Surgical Management of HighRisk Carotid Stenosis（Report of 24 Cases）. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2004, 11(4): 304-306. doi: Copy

1.	Brown KR, Kresowik TF, Chin MH, et al. Multistate populationbased outcomes of combined carotid endarterectomy and coronary artery bypass [Ｊ]. J Vasc Surg, 2003; 37(1)∶ 32.
2.	Gasparis AP, Ricotta L, Cuadra SA,et al. Highrisk carotid endarterectomy: fact or fiction [Ｊ]. J Vasc Surg, 2003; 37(1)∶40.
3.	Ouriel K, Yadav JS. The role of stents in patients with carotid disease [Ｊ]. Rev Cardiovasc Med, 2003; 4(2)∶61.
4.	Schneider JR, Droste JS, Schindler N, et al. Carotid endarterectomy with routine electroencephalography and selective shunting: Influence of contralateral internal carotid artery occlusion and utility in prevention of perioperative strokes [Ｊ]. J Vasc Surg, 2002; 35(6)∶1114.
5.	Kim GE, Cho YP, Lim SM. The anatomy of the circle of Willis as a predictive factor for intraoperative cerebral ischemia (shunt need) during carotid endarterectomy [Ｊ]. Neurol Res, 2002; 24(3)∶237.
6.	Riles TS, Imparato AM, Jacobowitz GR, et al. The cause of perioperative stroke after carotid endarterectomy [Ｊ]. J Vasc Surg, 1994; 19(2)∶206.
7.	No authors listed. A randomised, blinded, trial of clopidogrel versus aspirin in patients at risk of ischaemic events (CAPRIE). CAPRIE Steering Committee [Ｊ]. Lancet, 1996; 348(9038)∶1329.

1. Brown KR, Kresowik TF, Chin MH, et al. Multistate populationbased outcomes of combined carotid endarterectomy and coronary artery bypass [Ｊ]. J Vasc Surg, 2003; 37(1)∶ 32.
2. Gasparis AP, Ricotta L, Cuadra SA,et al. Highrisk carotid endarterectomy: fact or fiction [Ｊ]. J Vasc Surg, 2003; 37(1)∶40.
3. Ouriel K, Yadav JS. The role of stents in patients with carotid disease [Ｊ]. Rev Cardiovasc Med, 2003; 4(2)∶61.
4. Schneider JR, Droste JS, Schindler N, et al. Carotid endarterectomy with routine electroencephalography and selective shunting: Influence of contralateral internal carotid artery occlusion and utility in prevention of perioperative strokes [Ｊ]. J Vasc Surg, 2002; 35(6)∶1114.
5. Kim GE, Cho YP, Lim SM. The anatomy of the circle of Willis as a predictive factor for intraoperative cerebral ischemia (shunt need) during carotid endarterectomy [Ｊ]. Neurol Res, 2002; 24(3)∶237.
6. Riles TS, Imparato AM, Jacobowitz GR, et al. The cause of perioperative stroke after carotid endarterectomy [Ｊ]. J Vasc Surg, 1994; 19(2)∶206.
7. No authors listed. A randomised, blinded, trial of clopidogrel versus aspirin in patients at risk of ischaemic events (CAPRIE). CAPRIE Steering Committee [Ｊ]. Lancet, 1996; 348(9038)∶1329.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Surgical Management of HighRisk Carotid Stenosis（Report of 24 Cases）

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