• Sultan AlSheikh, Badr Aljabri, Tariq Alanezi, Mussaad Al-Salman, Mohammed Y Aldossary, Abdulatif H Almashat, Hend S Elmutawi, Rakan A Aldoghmani, Talal Altuwaijri, Kaisor Iqbal, and Abdulmajeed Altoijry.
• From the Department of Surgery (AlSheikh, Aljabri, Al-Salman, Aldossary, Altuwaijri, Iqbal, Altoijry), Division of Vascular Surgery; from the College of Medicine (Alanezi, Almashat, Elmutawi, Aldoghmani), King Saud University, Riyadh, and from the Department of Surgery (Aldossary), Division of Vascular Surgery, Dammam Medical Complex, Dammam, Kingdom of Saudi Arabia.
• Saudi Med J. 2024 Apr 1; 45 (4): 405413405-413.

ObjectivesTo analyze the outcomes of carotid endarterectomy in individuals with carotid artery stenosis in the context of a tertiary care center.MethodsWe carried out a retrospective cohort investigation between 2015-2022. Patient data includes demographics, risk factors, preoperative medications, and operative details. The primary outcomes were 30-day postoperative stroke and mortality rates, while the secondary outcome of the study was to assess the morbidity of the procedure.ResultsThe mean age of the 54 patients was 66.9±9.88 years, and 57.4% were men. The 30-day stroke rate was 3.7%, and the mortality rate was 1.9%. Most patients did not develop postoperative complications; however, surgical site hematoma was the most common complication encountered (12.9%). Long-term follow-up showed disease regression in 68.5% of patients, with a minority of patients developing ipsilateral restenosis. Admission to an intensive care monitoring unit was the only independent predictor of postoperative complications.ConclusionThis study provided insights into the outcomes of carotid endarterectomy in patients with carotid artery stenosis, emphasizing the importance of careful patient selection and postoperative monitoring. Perioperative risks, including stroke and mortality, were within acceptable limits. Further research incorporating structured and non-structured data for predictive analyses, should explore refining patient profiling and optimizing treatment approaches for different carotid artery stenosis clinical and morphological presentations.Copyright: © Saudi Medical Journal.

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