What are the sequelae of carotid endarterectomy

summary

Recently, I always feel uncomfortable in my neck, and I don't know what kind of disease I have. When I went to the hospital, I found that my neck problem was serious and needed carotid endarterectomy, so I quickly consulted about the sequelae. Today I'd like to talk about the sequelae of carotid endarterectomy.

What are the sequelae of carotid endarterectomy

First: mumps, carotid aneurysm formation, nerve injury, etc. in the acute stage of cerebral infarction caused by internal carotid artery occlusion, blood flow reconstruction after endarterectomy may aggravate cerebral edema, and may make ischemic infarction into hemorrhagic infarction. The success rate and long-term patency rate of endarterectomy are very low in patients with chronic internal carotid artery occlusion. Those who have serious systemic diseases and cannot tolerate surgery.

Second: incision infection, the separation of the artery should be gentle, do not separate the artery from the surrounding tissue, but to separate the surrounding tissue from the artery. Try not to touch the lesion as much as possible to avoid plaque shedding. Correct estimation of the tolerance of the brain to occlusion of carotid blood flow and placement of shunt tube when necessary can make endarterectomy easier. The disadvantage of shunt placement is that it may cause intimal injury. Maintain blood pressure at a higher level, avoid too high or too low, too low is easy to cause cerebral ischemia, too high is the risk of cerebral hemorrhage.

Third: if the symptoms worsen after the operation, it should be thought that there is thrombosis in the operation site, and cerebral angiography is feasible. If it is confirmed that there is thrombosis obstruction, the operation should be performed immediately to remove the thrombosis, and anticoagulant treatment should be given. Ischemic attack can be manifested as TIA or complete stroke. Local hematoma, caused by anticoagulation and antiplatelet therapy, often occurs in obese patients with hypertension. Hematoma can be formed if hemostasis is not complete or drainage is not done. If the volume of hematoma is large, the incision should be opened immediately to remove the hematoma.

matters needing attention

It can be seen from the above that the sequelae of carotid endarterectomy, however, these sequelae are only summarized by the doctor observing the patient's situation, which may not necessarily happen. The patient can consult the doctor, according to his own physical condition, how to do after the operation to prevent these sequelae.