Özet:

This study reflects our experience of controlled arterial hypertension, normocapnia and re-blood control in the patient group with unchancelled carotic endarterectomy. In 112 patients under general anesthesia, normocapni and controlled hypertension, 116 consecutive carotic endarterectomy (KEA) data were examined retrospectively. Carotis endarterectomy was performed after recurrence of blood, pressure and color assessment. The average age of patients was 64.2 ± 8.6 (47-83), the male/woman ratio was 79/37 and the average cross-clamp time was 25.63 ± 5.1 (15-55) minutes. More than 70 percent of patients had bilateral carotenoid depression. Fourteen patients were asymptomatic (%12) and 102 patients (%88) were symptomatic. All carotenoid endarterectoms were applied without the use of intraluminal shant. In 93 patients(80%) arteriotomy primary, in 23 patients (20%) closed with swelling in 30 days in hospital neurological complications developed in two patients (1.7%). These; in a patient, infection and in a patient, amarosis fugaks developed. There was no death in the work group. We think this work provides a view to avoiding unnecessary shant application. With controlled hypertension from the application of shant, normocapni and internal carotenous artery (ICA) re-blood control, carotenous endarterectomy allows us to be able to perform surgery with low morbidity and mortality rates.

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