Abstract
Objective: To evaluate the short-term safety of carotid endarterectomy and carotid artery stenting for treating extracranial carotid artery stenosis.
Methods: A retrospective descriptive study was conducted on 59 patients with extracranial carotid artery stenosis indicated for revascularization at the University Medical Center, Ho Chi Minh City. Treatment outcomes were assessed during hospitalization and at one month follow-up.
Results: A total of 59 patients who underwent revascularization, 27 received carotid artery stenting, and 32 underwent carotid endarterectomy. Three patients were lost to follow-up within one month. Perioperative complications during hospitalization included cranial nerve palsy (8.5%), hematoma (5.1%), cerebral infarction (3.4%), intracranial hemorrhage (1.7%), bleeding (1.7%), mortality (0%), and myocardial infarction (0%). Thirty-day periprocedural complications included cranial nerve palsy (8.9%), cerebral infarction (5.4%), intracranial hemorrhage (1.8%), mortality (0%), and myocardial infarction (0%).
Conclusion: Treatment of extracranial carotid artery stenosis with carotid endarterectomy and carotid artery stenting is safe.