| Surgical Treatment
of Carotid Occlusive Disease |
(Division of Thoracic and Cardiovascular Surgery,
Department of Surgery, Kawasaki Medical School, Kurashiki, Japanj
| Ichiro Morita |
Hiroshi Inada |
Hisao Masaki |
| Taiji Murakami |
Atsushi Tabuchi |
Yoshiaki Fukuhiro |
| Atsuhisa Ishida |
Daiki Kikugawa |
Kouichi Endo |
| Takashi Fujiwara |
|
|
|
Twenty-two patients who underwent
vascular reconstruction for carotid occlusive disease by April
1998 were examined in terms of long-term results. The cause of
disease was atherosclerosis in 16, and aortitis in 6. The operation
method included CEA in 11 and bypass in 5 cases in the atherosclerosis
cases, and CEA in 2 and bypass in 6 cases in aortitis. Cases
of occlusive disease included 1 early occlusion (atherosclerosis)
and 4 late occlusion (atherosclerosis 2, aortitis 2). The cause
of early occlusion was considered to be due to technical factors,
but late occlusion was thought to be related to progression of
disease, anastomotic intimal thickening, and recurrence of inflammation.
It is important to enforce strict operative indications, accurate
intraoperative monitoring, and perioperative drug control.
@Jpn. J. Cardiovasc. Surg. 29: 149-155 (2000) |
|
