[Experience of carotid endarterectomy in treating extracranial XXXX : early and mid-term outcomes of 618 cases].

@entity1 @entity64 @entity2998 @entity787 @entity850 @entity543 @entity204
OBJECTIVE: To evaluate the safety and early and late outcomes of carotid endarterectomy in treating extracranial @entity543 . METHODS: From January 2010 to September 2014, 572 consecutive @entity1 with @entity543 underwent 618 @entity787 operations. 470 @entity1 were males and 102 @entity1 were females. Their age range was 36-87 years old. Average age was 66 years old. Among these @entity1 , symptomatic @entity543 is 58.2%, @entity787 high-risk @entity1 is 26.9% and 35.6% @entity1 combined contralateral @entity2998 heavy @entity850 or totally occlusion. RESULTS: All the operations were success. Overall, perioperative major adverse events ( @entity204 / @entity64 /MI, MAEs) rates were 3.7%. The risk of MAEs was not associated with whether symptomatic @entity543 , @entity787 high-risk @entity1 and the lesions of contralateral @entity2998 or not. 511 @entity1 were followed up for a mean period of 42 months. MAEs rate in follow-up period is 8.5% and restenosis rate is 3.3%. The results of Kaplan-Meier survival analysis show symptomatic @entity543 and @entity787 high-risk @entity1 couldn't increase the risk of MAEs. However, heavy @entity850 in contralateral @entity2998 could increase the rate of @entity204 and @entity64 in the late follow-ups. CONCLUSIONS: @entity787 is a safety and effective method to treat extracranial @entity543 . The keys to prevent perioperative complications include a comprehensive evaluation of the @entity1 ' condition, an optional and personal surgical plan prior to the operations, and a dedicated management during the operations.
