Long-term functional consequences of cranial nerve injuries after carotid endarterectomy

Ihari, Mahia Aivaz; Andersson, Lars; Lundh, Tony; Nordanstig, Joakim; Strömberg, Sofia; Nordanstig, Annika

doi:10.23736/s0021-9509.22.12321-9

Cited by 1 publication

(1 citation statement)

References 12 publications

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“…Injuries to the glossopharyngeal nerve and spinal cord accessory nerve are quite rare, with rates of 0.22% and 0.21% respectively [ 29 ]. Furthermore, long-term follow-up results of patients with cranial nerve injuries showed that most cases have benign outcomes, with high rates of symptom regression and extremely low incidence of persistent clinically significant symptoms [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

Comparative on the effectiveness and safety of different carotid endarterectomy techniques: a single-center Retrospective Study

Wu,

Wang,

Guo

et al. 2024

J Cardiothorac Surg

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Background Carotid endarterectomy (CEA) is a surgical procedure that can reduce the risk of stroke in patients with carotid artery stenosis. However, controversy still exists regarding the optimal surgical technique for CEA. Objective To compare the safety and effectiveness of different techniques. Methods Data on baseline characteristics as well as perioperative and postoperative complications from patients who underwent CEA at the Department of Vascular Surgery, Xuanwu Hospital, Capital Medical University, were retrospectively collected and analyzed. Results A total of 262 CEA patients included in study, with a total of 265 CEA operations. The mean age of 69.95 ± 7.29 (range, 44–89) years. 65 (24.5%) patients underwent cCEA, 94 (35.5%) underwent pCEA, and 106 (40.0%) underwent eCEA. The use of shunt (1.9%) and the mean operation time were lower in eCEA group (P < 0.05). eCEA was also associated with a lower incidence of postoperative hypotension, whereas pCEA was associated with a lower incidence of postoperative hypertension (P < 0.05). There was no significant difference in clinical baseline characteristics, occurrence of perioperative complications, and survival whether restenosis-free, asymptomatic or overall. Conclusions This study found that all three surgical methods are equally safe for the treatment of carotid artery stenosis and are effective in preventing stroke.

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Section: Discussionmentioning

confidence: 99%