Altered blood pressure responses of carotid endarterectomy in patients with contralateral carotid artery lesion

gokalp, orhan; KARAKAŞ, Nihan; Bademci, Mehmet Senel; Akyuz, Muhammet; GÜRBÜZ, ALİ; ÖZÇEM, Barçın; AKDAĞ, Banu Bahriye; YAŞA, Haydar

Altered blood pressure responses of carotid endarterectomy in patients with contralateral carotid artery lesion

Muhammet AKYÜZ, (İzmir Katip Çelebi Üniversitesi, Atatürk Eğitim ve Araştırma Hastanesi, Kalp ve Damar Cerrahisi Anabilim Dalı, İzmir, Türkiye)

Haydar YAŞA, (Batı Anadolu Merkez Hastanesi Kalp ve Damar Cerrahisi Anabilim Dalı, İzmir, Türkiye)

Barçın ÖZÇEM, (Yakın Doğu Üniversitesi, Lefkoşa, KKTC)

Mehmet Şenel BADEMCİ, (İzmir Katip Çelebi Üniversitesi, Atatürk Eğitim ve Araştırma Hastanesi, Kalp ve Damar Cerrahisi Anabilim Dalı, İzmir, Türkiye)

Orhan GÖKALP, (İzmir Katip Çelebi Üniversitesi, Atatürk Eğitim ve Araştırma Hastanesi, Kalp ve Damar Cerrahisi Anabilim Dalı, İzmir, Türkiye)

Nihan KARAKAŞ, (İzmir Katip Çelebi Üniversitesi, Atatürk Eğitim ve Araştırma Hastanesi, Kalp ve Damar Cerrahisi Anabilim Dalı, İzmir, Türkiye)

Banu Bahriye AKDAĞ, (İzmir Katip Çelebi Üniversitesi, Atatürk Eğitim ve Araştırma Hastanesi, Kalp ve Damar Cerrahisi Anabilim Dalı, İzmir, Türkiye)

Ali GÜRBÜZ (İzmir Katip Çelebi Üniversitesi, Atatürk Eğitim ve Araştırma Hastanesi, Kalp ve Damar Cerrahisi Anabilim Dalı, İzmir, Türkiye)

Türk Göğüs Kalp Damar Cerrahisi Dergisi

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Yıl: 2016 Cilt: 24 Sayı: 3 Sayfa Aralığı: 473 - 479 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Altered blood pressure responses of carotid endarterectomy in patients with contralateral carotid artery lesion

Öz:

Amaç: Bu çalışmada kontralateral karotis arter lezyonu olan hastalarda karotis endarterektomiyi takiben ilk üç gün içinde değişmiş kan basıncı yanıtları değerlendirildi.Ça lış ma pla nı: Mart 2009 - Kasım 2012 tarihleri arasında karotis endarterektomi yapılan toplam 111 hasta (52 erkek, 59 kadın; ort. yaş 67.7±8.6 yıl; dağılım 46-83 yıl) retrospektif olarak incelendi. Hastalar iki gruba ayrıldı: kontralateral karotis arter patent olan (grup 1, n=65) ve kontralateral karotis arter darlığı veya tıkanıklığı olan (grup 2, n=44). Ameliyat sonrası izlem sırasında başlangıca kıyasla kan basıncındaki değişiklikler incelendi ve gruplar arasında karşılaştırıldı.

Anahtar Kelime:

Konular: Kalp ve Kalp Damar Sistemi Cerrahi

Kontralateral karotis arter lezyonlu hastalarda karotis endarterektominin değişmiş kan basıncı yanıtları

Öz:

Background: In this study, we evaluated altered blood pressure responses within the first three days following carotid endarterectomy in patients with contralateral carotid artery lesion.Methods: A total of 111 patients (52 males, 59 females; mean age 67.7±8.6 years; range 46 to 83 years) who underwent carotid endarterectomy between March 2009 and November 2012 were retrospectively analyzed. The patients were divided into two groups: those with a patent contralateral carotid artery (group 1, n=65) and those with a contralateral carotid artery stenosis (50% to 99%) or occlusion (group 2, n=44). The changes of the blood pressure compared to the baseline during the postoperative course were analyzed and compared between the groups.Results: In the postoperative period, group 2 patients had significantly higher systolic, diastolic, and mean arterial blood pressure values, compared to group 1 (p<0.05). During the postoperative period, the need for intravenous antihypertensive drugs was significantly higher in group 2, compared to group 1 (p<0.05). The dose of existing antihypertensive medications during hospitalization increased or additional antihypertensive medication was prescribed in 25 patients (56.8%) in group 2 and 14 patients (21.5%) in group 1 after carotid endarterectomy (p<0.05). In group 2, one patient experienced a neurological complication involving a transient ischemia attack. No significant postoperative neurological, surgical, or cardiac complications developed in any patient in either group.Conclusion: The present study showed that the patients scheduled for carotid endarterectomy were at high risk for postoperative hypertension in the presence of a stenosis (50 to 99%) or occlusion of the contralateral internal carotid artery.

Anahtar Kelime:

Konular: Kalp ve Kalp Damar Sistemi Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Akyuz M, YAŞA H, ÖZÇEM B, Bademci M, gokalp o, KARAKAŞ N, AKDAĞ B, GÜRBÜZ A (2016). Altered blood pressure responses of carotid endarterectomy in patients with contralateral carotid artery lesion. , 473 - 479.
Chicago	Akyuz Muhammet,YAŞA Haydar,ÖZÇEM Barçın,Bademci Mehmet Senel,gokalp orhan,KARAKAŞ Nihan,AKDAĞ Banu Bahriye,GÜRBÜZ ALİ Altered blood pressure responses of carotid endarterectomy in patients with contralateral carotid artery lesion. (2016): 473 - 479.
MLA	Akyuz Muhammet,YAŞA Haydar,ÖZÇEM Barçın,Bademci Mehmet Senel,gokalp orhan,KARAKAŞ Nihan,AKDAĞ Banu Bahriye,GÜRBÜZ ALİ Altered blood pressure responses of carotid endarterectomy in patients with contralateral carotid artery lesion. , 2016, ss.473 - 479.
AMA	Akyuz M,YAŞA H,ÖZÇEM B,Bademci M,gokalp o,KARAKAŞ N,AKDAĞ B,GÜRBÜZ A Altered blood pressure responses of carotid endarterectomy in patients with contralateral carotid artery lesion. . 2016; 473 - 479.
Vancouver	Akyuz M,YAŞA H,ÖZÇEM B,Bademci M,gokalp o,KARAKAŞ N,AKDAĞ B,GÜRBÜZ A Altered blood pressure responses of carotid endarterectomy in patients with contralateral carotid artery lesion. . 2016; 473 - 479.
IEEE	Akyuz M,YAŞA H,ÖZÇEM B,Bademci M,gokalp o,KARAKAŞ N,AKDAĞ B,GÜRBÜZ A "Altered blood pressure responses of carotid endarterectomy in patients with contralateral carotid artery lesion." , ss.473 - 479, 2016.
ISNAD	Akyuz, Muhammet vd. "Altered blood pressure responses of carotid endarterectomy in patients with contralateral carotid artery lesion". (2016), 473-479.

APA	Akyuz M, YAŞA H, ÖZÇEM B, Bademci M, gokalp o, KARAKAŞ N, AKDAĞ B, GÜRBÜZ A (2016). Altered blood pressure responses of carotid endarterectomy in patients with contralateral carotid artery lesion. Türk Göğüs Kalp Damar Cerrahisi Dergisi, 24(3), 473 - 479.
Chicago	Akyuz Muhammet,YAŞA Haydar,ÖZÇEM Barçın,Bademci Mehmet Senel,gokalp orhan,KARAKAŞ Nihan,AKDAĞ Banu Bahriye,GÜRBÜZ ALİ Altered blood pressure responses of carotid endarterectomy in patients with contralateral carotid artery lesion. Türk Göğüs Kalp Damar Cerrahisi Dergisi 24, no.3 (2016): 473 - 479.
MLA	Akyuz Muhammet,YAŞA Haydar,ÖZÇEM Barçın,Bademci Mehmet Senel,gokalp orhan,KARAKAŞ Nihan,AKDAĞ Banu Bahriye,GÜRBÜZ ALİ Altered blood pressure responses of carotid endarterectomy in patients with contralateral carotid artery lesion. Türk Göğüs Kalp Damar Cerrahisi Dergisi, vol.24, no.3, 2016, ss.473 - 479.
AMA	Akyuz M,YAŞA H,ÖZÇEM B,Bademci M,gokalp o,KARAKAŞ N,AKDAĞ B,GÜRBÜZ A Altered blood pressure responses of carotid endarterectomy in patients with contralateral carotid artery lesion. Türk Göğüs Kalp Damar Cerrahisi Dergisi. 2016; 24(3): 473 - 479.
Vancouver	Akyuz M,YAŞA H,ÖZÇEM B,Bademci M,gokalp o,KARAKAŞ N,AKDAĞ B,GÜRBÜZ A Altered blood pressure responses of carotid endarterectomy in patients with contralateral carotid artery lesion. Türk Göğüs Kalp Damar Cerrahisi Dergisi. 2016; 24(3): 473 - 479.
IEEE	Akyuz M,YAŞA H,ÖZÇEM B,Bademci M,gokalp o,KARAKAŞ N,AKDAĞ B,GÜRBÜZ A "Altered blood pressure responses of carotid endarterectomy in patients with contralateral carotid artery lesion." Türk Göğüs Kalp Damar Cerrahisi Dergisi, 24, ss.473 - 479, 2016.
ISNAD	Akyuz, Muhammet vd. "Altered blood pressure responses of carotid endarterectomy in patients with contralateral carotid artery lesion". Türk Göğüs Kalp Damar Cerrahisi Dergisi 24/3 (2016), 473-479.