The Preoperative Evaluation of the Carotid Artery in Head and Neck Surgery |
Tack Kyun Kwon;Myung Whun Sung;Kwang Hyun Kim;Chul Hee Lee;Yang Gi Min |
두경부수술에서 경동맥 희생과 사전검사 |
권택균;성명훈;김광현;김정준;이철희;민양기 |
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Abstract |
Objectives: The authors tried to analyze the results of carotid artery sacrifice with or without preoperative carotid evaluation.
Materials and Methods: Thirteen patients undergone carotid sacrifice were evaluated. Carotid balloon occlusion test (BOT) and single-photon emission computed tomography (SPECT) with technetium-99m-labeled hexamethylpropyleneamineoxime (99mTc-HMPAO ) were used for preoperative carotid evaluation.
Results The causes of carotid artery sacrifice consisted of the neck mass involving the carotid artery, spontaneous aneurysmal rupture, and traumatic pseudoaneurysm. Five patient had postoperative neurologic complications and two of them had permanent neurologic deficits.
Conclusion The authors stress that the preoperative evaluation in carotid artery sacrifice is imperable, and the BOT with SPECT can be used in selecting the method of treatment. But since these tests cannot predict the postoperative outcome perfectly, careful perioperative care of the patients should be exercised regardless of the results of the preoperative evaluation. |
Key Words:
Carotid artery, SPECT, Balloon occlusion test |
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