Desfechos perioperatórios primários da endarterectomia e angioplastia no tratamento da estenose de artéria carótida

Detalhes bibliográficos
Autor(a) principal: Menegola, Vinícius Matos
Data de Publicação: 2021
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Manancial - Repositório Digital da UFSM
dARK ID: ark:/26339/0013000010jgp
Texto Completo: http://repositorio.ufsm.br/handle/1/23600
Resumo: Stroke has been among the most relevant chronic diseases of our time and it is the third leading cause of morbimortality in the west, which may cause cognitive and motor deficits in most patients. The vast majority of strokes in Brazil have an ischemic etiology and approximately 80% of the cases have the participation of extracranial carotid stenosis in its etiopathogenesis. Studying the primary perioperative outcomes, as well as discussing carotid revascularization techniques and their indications allow for a better approach and optimization of the treatment. Retrospective observational study in patients submitted to carotid endarterectomy (CEA) and transluminal carotid angioplasty (TCA), based on the review of 78 medical records divided into 2 groups, according to the presence or absence of symptoms. Patients selected for surgical intervention comprised both asymptomatic with stenosis greater than 80% and symptomatic with >70% stenosis of the lumen of the internal carotid artery (ICA), basing the degrees of stenosis on the NASCET/ECST criteria. CEA was performed in 75 patients and only 3 patients carried out PTA. Critical ICA stenosis was found in 100% of the studied patients; from those, 49 (62.8%) were male. Of the 78 patients who underwent procedures, 46 (58.97%) were symptomatic and 32 (41%) asymptomatic. Among the perioperative clinical outcomes, 4 (5.12%) cases of cerebrovascular accident (CVA) were identified, with 3 (6.52%) patients in the group of symptomatic patients and only 1 (3.125%) case among the asymptomatic ones. No cases of acute myocardial infarction (AMI) were observed, and no deaths from any cause were found in the perioperative period. The low rates of perioperative clinical outcomes are in line with international studies and corroborate the safety of the procedure in this institution.
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spelling Desfechos perioperatórios primários da endarterectomia e angioplastia no tratamento da estenose de artéria carótidaEstenose de carótidaEndarterectomiaAngioplastiaAcidente vascular cerebralCarotid stenosisEndarterectomyAngioplastyStrokeCNPQ::CIENCIAS DA SAUDEStroke has been among the most relevant chronic diseases of our time and it is the third leading cause of morbimortality in the west, which may cause cognitive and motor deficits in most patients. The vast majority of strokes in Brazil have an ischemic etiology and approximately 80% of the cases have the participation of extracranial carotid stenosis in its etiopathogenesis. Studying the primary perioperative outcomes, as well as discussing carotid revascularization techniques and their indications allow for a better approach and optimization of the treatment. Retrospective observational study in patients submitted to carotid endarterectomy (CEA) and transluminal carotid angioplasty (TCA), based on the review of 78 medical records divided into 2 groups, according to the presence or absence of symptoms. Patients selected for surgical intervention comprised both asymptomatic with stenosis greater than 80% and symptomatic with >70% stenosis of the lumen of the internal carotid artery (ICA), basing the degrees of stenosis on the NASCET/ECST criteria. CEA was performed in 75 patients and only 3 patients carried out PTA. Critical ICA stenosis was found in 100% of the studied patients; from those, 49 (62.8%) were male. Of the 78 patients who underwent procedures, 46 (58.97%) were symptomatic and 32 (41%) asymptomatic. Among the perioperative clinical outcomes, 4 (5.12%) cases of cerebrovascular accident (CVA) were identified, with 3 (6.52%) patients in the group of symptomatic patients and only 1 (3.125%) case among the asymptomatic ones. No cases of acute myocardial infarction (AMI) were observed, and no deaths from any cause were found in the perioperative period. The low rates of perioperative clinical outcomes are in line with international studies and corroborate the safety of the procedure in this institution.O acidente vascular cerebral (AVC) está entre as doenças crônicas mais relevantes da atualidade e é a terceira principal causa de morbimortalidade no ocidente, podendo causar déficit cognitivo e motor na maioria dos pacientes. A grande maioria dos AVC no Brasil têm etiologia isquêmica e aproximadamente 80% dos casos tem a participação da estenose carotídea extracraniana na sua etiopatogenia. Estudar os desfechos primários no perioperatório, assim como discutir as técnicas de revascularização carotídea e suas indicações permitem uma melhor abordagem e otimização do tratamento. Estudo retrospectivo observacional em pacientes submetidos à endarterectomia (ECA) e angioplastia transluminal de carótida (ATC), baseado na revisão de 78 prontuários divididos em 2 grupos, conforme a presença ou não de sintomas. Os pacientes selecionados para intervenção cirúrgica compreendiam tanto assintomáticos com estenose superior a 80% e sintomáticos com estenose >70% do lúmen da artéria carótida interna (ACI), baseando os graus de estenoses nos critérios de NASCET/ECST. ECA foi realizada em 75 pacientes e apenas 3 pacientes realizaram ATC. Estenose crítica de ACI foi encontrada em 100% dos pacientes estudados, dos quais 49 (62,8%) eram do sexo masculino. Dos 78 pacientes que realizaram procedimentos, 46 (58,97%) eram sintomáticos e 32 (41%) assintomáticos. Entre os desfechos clínicos perioperatórios foram identificados 4 (5,12%) casos de acidente vascular cerebral (AVC), sendo 3 (6,52%) pacientes no grupo de pacientes sintomáticos e apenas 1 (3,125%) caso entre os assintomáticos. Não foi observado nenhum caso de infarto agudo de miocárdio (IAM) e não foi constatado nenhum óbito por qualquer causa no perioperatório. Os baixos índices dos desfechos clínicos no perioperatório estão em consonância com os estudos internacionais e corroboram a segurança do procedimento nesta instituição.Universidade Federal de Santa MariaBrasilCiências da SaúdeUFSMPrograma de Pós-Graduação em Ciências da SaúdeCentro de Ciências da SaúdeRibeiro, Tiango Aguiarhttp://lattes.cnpq.br/5738745231283624Konopka, Clóvis Luíshttp://lattes.cnpq.br/0367178199063341Dutra, Clandio De FreitasBecker, MônicaMenegola, Vinícius Matos2022-01-21T19:39:42Z2022-01-21T19:39:42Z2021-08-25info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisapplication/pdfhttp://repositorio.ufsm.br/handle/1/23600ark:/26339/0013000010jgpporAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessreponame:Manancial - Repositório Digital da UFSMinstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSM2022-01-21T19:39:42Zoai:repositorio.ufsm.br:1/23600Biblioteca Digital de Teses e Dissertaçõeshttps://repositorio.ufsm.br/ONGhttps://repositorio.ufsm.br/oai/requestatendimento.sib@ufsm.br||tedebc@gmail.comopendoar:2022-01-21T19:39:42Manancial - Repositório Digital da UFSM - Universidade Federal de Santa Maria (UFSM)false
dc.title.none.fl_str_mv Desfechos perioperatórios primários da endarterectomia e angioplastia no tratamento da estenose de artéria carótida
title Desfechos perioperatórios primários da endarterectomia e angioplastia no tratamento da estenose de artéria carótida
spellingShingle Desfechos perioperatórios primários da endarterectomia e angioplastia no tratamento da estenose de artéria carótida
Menegola, Vinícius Matos
Estenose de carótida
Endarterectomia
Angioplastia
Acidente vascular cerebral
Carotid stenosis
Endarterectomy
Angioplasty
Stroke
CNPQ::CIENCIAS DA SAUDE
title_short Desfechos perioperatórios primários da endarterectomia e angioplastia no tratamento da estenose de artéria carótida
title_full Desfechos perioperatórios primários da endarterectomia e angioplastia no tratamento da estenose de artéria carótida
title_fullStr Desfechos perioperatórios primários da endarterectomia e angioplastia no tratamento da estenose de artéria carótida
title_full_unstemmed Desfechos perioperatórios primários da endarterectomia e angioplastia no tratamento da estenose de artéria carótida
title_sort Desfechos perioperatórios primários da endarterectomia e angioplastia no tratamento da estenose de artéria carótida
author Menegola, Vinícius Matos
author_facet Menegola, Vinícius Matos
author_role author
dc.contributor.none.fl_str_mv Ribeiro, Tiango Aguiar
http://lattes.cnpq.br/5738745231283624
Konopka, Clóvis Luís
http://lattes.cnpq.br/0367178199063341
Dutra, Clandio De Freitas
Becker, Mônica
dc.contributor.author.fl_str_mv Menegola, Vinícius Matos
dc.subject.por.fl_str_mv Estenose de carótida
Endarterectomia
Angioplastia
Acidente vascular cerebral
Carotid stenosis
Endarterectomy
Angioplasty
Stroke
CNPQ::CIENCIAS DA SAUDE
topic Estenose de carótida
Endarterectomia
Angioplastia
Acidente vascular cerebral
Carotid stenosis
Endarterectomy
Angioplasty
Stroke
CNPQ::CIENCIAS DA SAUDE
description Stroke has been among the most relevant chronic diseases of our time and it is the third leading cause of morbimortality in the west, which may cause cognitive and motor deficits in most patients. The vast majority of strokes in Brazil have an ischemic etiology and approximately 80% of the cases have the participation of extracranial carotid stenosis in its etiopathogenesis. Studying the primary perioperative outcomes, as well as discussing carotid revascularization techniques and their indications allow for a better approach and optimization of the treatment. Retrospective observational study in patients submitted to carotid endarterectomy (CEA) and transluminal carotid angioplasty (TCA), based on the review of 78 medical records divided into 2 groups, according to the presence or absence of symptoms. Patients selected for surgical intervention comprised both asymptomatic with stenosis greater than 80% and symptomatic with >70% stenosis of the lumen of the internal carotid artery (ICA), basing the degrees of stenosis on the NASCET/ECST criteria. CEA was performed in 75 patients and only 3 patients carried out PTA. Critical ICA stenosis was found in 100% of the studied patients; from those, 49 (62.8%) were male. Of the 78 patients who underwent procedures, 46 (58.97%) were symptomatic and 32 (41%) asymptomatic. Among the perioperative clinical outcomes, 4 (5.12%) cases of cerebrovascular accident (CVA) were identified, with 3 (6.52%) patients in the group of symptomatic patients and only 1 (3.125%) case among the asymptomatic ones. No cases of acute myocardial infarction (AMI) were observed, and no deaths from any cause were found in the perioperative period. The low rates of perioperative clinical outcomes are in line with international studies and corroborate the safety of the procedure in this institution.
publishDate 2021
dc.date.none.fl_str_mv 2021-08-25
2022-01-21T19:39:42Z
2022-01-21T19:39:42Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
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dc.identifier.uri.fl_str_mv http://repositorio.ufsm.br/handle/1/23600
dc.identifier.dark.fl_str_mv ark:/26339/0013000010jgp
url http://repositorio.ufsm.br/handle/1/23600
identifier_str_mv ark:/26339/0013000010jgp
dc.language.iso.fl_str_mv por
language por
dc.rights.driver.fl_str_mv Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade Federal de Santa Maria
Brasil
Ciências da Saúde
UFSM
Programa de Pós-Graduação em Ciências da Saúde
Centro de Ciências da Saúde
publisher.none.fl_str_mv Universidade Federal de Santa Maria
Brasil
Ciências da Saúde
UFSM
Programa de Pós-Graduação em Ciências da Saúde
Centro de Ciências da Saúde
dc.source.none.fl_str_mv reponame:Manancial - Repositório Digital da UFSM
instname:Universidade Federal de Santa Maria (UFSM)
instacron:UFSM
instname_str Universidade Federal de Santa Maria (UFSM)
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institution UFSM
reponame_str Manancial - Repositório Digital da UFSM
collection Manancial - Repositório Digital da UFSM
repository.name.fl_str_mv Manancial - Repositório Digital da UFSM - Universidade Federal de Santa Maria (UFSM)
repository.mail.fl_str_mv atendimento.sib@ufsm.br||tedebc@gmail.com
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