Background:

Carotid stenosis due to atherosclerosis is the cause of 15-30% of cerebral vascular disease (CVD) of ischemic origin and in 2020 it represented the seventh cause of death in Mexico. Carotid endarterectomy (CE) is the treatment of choice to prevent CVD in patients with symptomatic carotid stenosis. Complications associated with treatment are acute myocardial infarction, hemorrhage/bruising, peripheral nerve damage, CVD, and death in the immediate postoperative period.

Objective:

To determine the prevalence of postoperative complications in patients undergoing endarterectomy for carotid stenosis.

Material and Methods:

Analytical cross-sectional study. Patients were analyzed as group 1 (with complications n = 6), group 2 (without complications n = 16). Descriptive, comparative and inferential statistics were used, a value of p < 0.05 was determined as statistically significant. Statistical program IBM SPSS V.28 was used.

Results:

22 patients undergoing CE were evaluated. The prevalence of complications was 27%. The most frequent complication was reoperation in 22.7% (n = 5), CVD 13.6% (n = 3), hematoma/hemorrhage 9% (n = 2), peripheral neurological sequelae 4.5% (n = 1).

Conclusions:

The need for surgical reintervention due to bleeding secondary to the intervention and CVD were the most frequently found complications (95% CI 0.59-0.99, p <0.001 vs. 0.8-0.45, p = 0.023). These findings will be useful for possible perioperative management in patients with carotid stenosis.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )