Experiencia en el tratamiento quirúrgico de la enfermedad carotídea ateroesclerótica en el Hospital Central Militar

Manuel Tovar-Cervantes, Víctor
January 2007
Revista de Sanidad Militar;ene/feb2007, Vol. 61 Issue 1, p18
Academic Journal
Antecedents. At the present time in diverse studies as North American Symptomatic Carotid Endarterectomy Trial and Europe Carotid Surgery Trial, surgery in patients with equal or greater 50% stenosis in the carotid bifurcation result in a statistically significant diminution in the average of apoplexies compared with groups with medical treatment. Objective. To describe Service of Angiología and Vascular Surgery of the Hospital Central Militar experience in atherosclerotic disease of the carotid surgical treatment. Method. Descriptive retrospective-prospective study of patients subjected to surgical treatment of atherosclerotic disease of the carotid from January 2004 to April 2006. A descriptive statistical analysis was applied. Results. A total of 72 endarterectomies was made, in 61 patients. The greater mortality average and neurological deficit was of 2%, NASCET, ACAS and ESCT studies, report a mortality index from 2.8 to 3.5%, with complications of the wound (infection and hematomas) index below the reported in these publications. Conclusion. Secondary mortality and morbidity to the surgical treatment of the atherosclerotic disease of the carotid are similar to reported in the international studies.


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