Estudo prospectivo comparativo entre a endarterectomia e a angioplastia com stent e proteˋˋo cerebral no tratamento das lesˋes ateroscler車ticas carot赤deas: resultados em 30 dias

作者：Tinoco; Eugenio Carlos de Almeida; Silva; Luis Felipe da; Luquini; Bruno Baio; Campanha; Rafael; Nascimento; Marcelo; Horta; Luciana

来源：Jornal Vascular Brasileiro, 2006.

DOI：10.1590/S1677-54492006000400004

• carotid
• endarterectomy
• angioplasty.

objective: to comparatively analyze the 30-day results between endarterectomy and angioplasty using self-expandable stent and filter protection in the treatment of carotid bifurcation atherosclerotic lesions. the primary endpoint was to analyze stroke and death rate, as well hospitalization time. methods: comparative and prospective study in 80 symptomatic and asymptomatic patients, with carotid bifurcation stenotic lesions greater than 60 and 70%, respectively. the patients were divided into two groups of 40 and assessed according to gender, age, associated comorbid conditions and smoking. results: the stroke and death rate was 5.0% for both techniques. there was only one case of transient ischemic attack (2.5%) in the endovascular group. regarding hospitalization time, it was significantly lower in favor of the endovascular technique, with statistical significance (p %26lt; 0.002). conclusions: this study demonstrated a 5.0% incidence of stroke and death in 30 days considering both techniques. however, the endovascular group presented a statistically significant shorter hospitalization time than the endarterectomy group (p %26lt; 0.002).