TY - JOUR
TI - A short incision for carotid endarterectomy results in decreased
morbidity
AU - Bastounis, E.
AU - Bakoylannis, C.
AU - Cagiannos, C.
AU - Klonaris, C. and
AU - Filis, C.
AU - Bastouni, E. E.
AU - Georgopoulos, S.
JO - European Journal of Vascular and Endovascular Surgery
PY - 2007
VL - 33
TODO - 6
SP - 652-656
PB - W B SAUNDERS CO LTD
SN - 1078-5884, 1532-2165
TODO - 10.1016/j.ejvs.2006.12.028
TODO - carotid endarterectomy; skin incision; nerve injury; morbidity
TODO - Objectives. To investigate the effect of a short incision (<5 cm) on the
complication rate of the carotid endarterectomy (CEA).
Design. A retrospective cohort study.
Patients and methods. From January 1994 to December 2005, 874 patients
underwent 1048 primary carotid endarterectomy (CEA) procedures. Seven
hundred and sixty nine operations were performed through a long neck
incision (group A), while 279 were performed through a smaller incision
(<5 cm) according to a standard protocol (group B). Preoperative and
postoperative cranial nerve assessment was completed on all patients.
The main outcome measures were stroke, death, cranial and cervical nerve
injuries rates.
Results. The 30-day mortality rate was 0.26% in group A and 0.35% in
group B (p = .792). The stroke rate was 0.13% and 0% in group A and B
respectively (p = .839). The mean length of stay was 2.59 days in group
A and 1.67 days in group B (p < .0001). In group A the overall incidence
of motor and sensory nerve deficits was 13.5% (104 CEA, 92 patients)
but in group B 2.9% (8 CEA, 7 patients, p < .0001, odds ratio [OR]
0.189, 95% confidence interval [CI] 0.091-0.393).
Conclusions. Carotid endarterectomy through a small incision is a
feasible and safe approach that provides cosmetic results and fewer
nerve complications without compromising the safety of the procedure.
ER -