涤纶补片在颈动脉内膜剥脱术中的常规应用

目的：颈动脉内膜剥脱术是防治颅外颈动脉硬化生度狭窄致缺血性脑中风的标准方法，如何预防术后颈动态再狭窄的发生是该手术的关键。本拟对术中常规应用Hema Carotid涤纶补片对内膜剥脱后颈动脉行成形关闭作一些探讨。方法：将58例德国患行标准的颈动脉内膜剥脱术，对术中及术后近期并发症作一总结。结果：围手术期患死亡率及中风率是0％，术后发生一过性脑缺血的患人数是2例（3.45％），但未发现急性颈动脉闭塞，与手术操作有关的并发症是2例（3.45％）。结论：术中常规应用涤纶补片是颈动脉内膜剥脱术手术成功防止术后颈动脉再狭窄的关键步骤，对于国内开展该手术有一定借鉴。

Routine HemaCarotid Patch Angioplasty for Carotid Endarterectomy

Objective: Patch angioplasty during carotid endarterectomy(CEA)has been shown to reduce the incidence of both early and late complications. Controversy continues,however,over the ideal patch material. HemaCarotid Dacron patch offers an attractive alternative to other patch materials, because of its handling and suturing characteristics that are similar to that of autogenous material . The purpose of this study was to evaluate a policy of routine use of the above patch during CEA. Methods: A prospectve audit of the results of 58 consecutive CEA was performed, with routine use of HemaCarotid patch in surgical hospital, Rostock university in Germany. Intraoperative and postoperative complications of CEA were reviewed. Results: During the study period, the perioperative stroke/death rate at 30 days was 0% , but the TLA rate was 2 cases (3.45 %), which was in relation with previous stroke and contralater-al internal carotid occlusion. Minor operative complications were 2 cases (3.45% ) .The successful rate of insertion of shunt was 100% . Conclusion: HemaCarotid patch angioplasty during CEA is associated with low incidence of perioperative adverse outcomes, is helpful in popularizing CEA in China.