Carotid Endarterectomy for Symptomatic Carotid Stenosis (a Report of 23 Cases)

Objective To explore the operative method and curative effect of carotid endarterectomy (CEA) in the patients with symptomatic carotid stenosis in order to provide a new operative thoughtway and method to treat long -segment carotid stenosis. Methods CEA was performed in 23 patients with symptomatic carotid stenosis, of whom, 2 received standard CEA, 3 standard CEA and angioplasty with patches, 16 eversion CEA, and 2 eversion CEA and endarterectomy of common carotid artery with ring-stripper. Results All the operations were successful. The cerebral ischemic symptoms were significantly ameliorated after the operation in all the patients. Conclusion CEA, special endarterectomy of common carotid artery with ring-stripper can increase brain blood flow and ameliorate the cerebral ischemic symptoms in the patients with symptomatic carotid stenosis.