Morbi-mortalidad en endarterectomías carotídeas en el Centro Médico ABC

Objective: To determine the incidence and type of complications in carotid endarterectomies at the ABC Medical Center: Ten year experience. Background: Stroke is the fifth cause of death in Mexico. Ischemic stroke is the most common (85%). In our country, the prevalence is 10% in young people and 45% in the elderly population. Costs for care of patients with stroke are elevated, with a significant impact on society. Prevention in susceptible cases for carotid endarterectomy is vital, but can be associated with severe complications in inexperience hands. Material and methods: We perform an observational, analytical, retrospective longitudinal study at the ABC Medical Center in all patients with diagnosis of carotid artery disease who underwent endarterectomy in the past 10 years (2000-2010). Results: Seventy one cases met the selection criteria. 22 female (31%) and 49 male (69%). Mean carotid stenosis 77.11% with a standard deviation of 13.67%. Mortality, 0. Morbidity: peripheral neurological 10.6%, bleeding 4.2% and central neurological 2.8%. Primary angioplasty had the highest complication rate 9.8% vs. patch with saphenous vein 5.6% or PTFE 1.4%. There was no significant difference between the type of surgical training (neurosurgery vs. vascular surgery), and the development of complications. Conclusions: The incidence of carotid endarterectomy complications is within international standards. There were no differences between the type of surgical training in relation to morbi-mortality rates. Primary angioplasty had more complications than patch angioplasty.