Clinical characteristics of acute internal carotid artery occlusion after carotid endarterectomy
Objective To analyze the clinical features of patients with acute internal carotid artery occlusion after carotid endarterec-tomy(CEA).Methods The clinical data of 1 564 patients with CEA from January 2017 to December 2022 in General Hospital of Northern Theater Command were retrospectively analyzed.Among them,5 patients developed acute internal carotid artery occlusion af-ter surgery.Clinical and imaging data and treatment information of 5 patients were collected.Results In 5 cases(0.32%,5/1 564),acute internal carotid artery occlusion was found by CT angiography of head and neck within 24 h after operation,and internal carotid artery opening was performed in emergency.All the 5 patients had severe initial stenosis of internal carotid artery(stenosis degree＞90%),dissection in the ipilateral intracranial segment,good compensation of the circle of Willis,good internal carotid artery return im-mediately after CEA,and no new nerve function defect after surgery.Conclusion Acute internal carotid artery occlusion after CEA has certain morphological commonality,and good internal carotid artery return can not predict the possibility of complications.
万方数据
维普
