ASSESSMENT OF CAROTID ENDARTERECTOMY IN A SAMPLE OF IRANIAN PATIENTS

Background: carotid endarterectomy (cea) is recommended in patients with symptomatic and some times asymptomatic carotid stenosis in vascular surgery centers with low perioperative complication rate.methods: a stenosis retrospective study was carried out in patients underwent cea in 3 vascular surgery centers in tehran and 2 centers in mashhad. patientsپf selection criteria, methods of detection of carotid stenosis, method of anesthesia, surgical techniques and perioperative complications were evaluated.results: overall, 388 cea in 345 patients (65% males) with mean age of 66.8 year old (ranged 46-84 years) were evaluated. detection of carotid stenosis was made by one carotid duplex ultrasound in 90% of cea candidates. the whole perioperative stroke death rate in reported iranian vascular surgery centers is 6.4%. perioperative stroke death rate in imam reza, razavi, shohaday tajrish, taleghani and iranmehr hospitals was 2.4, 0, 4.8, ,10.2 and 10.2 percent, respectively.conclusion: in iran, cea is recommended only in patients with symptomatic . 70% internal carotid arterystenosis and preferably in patients with symptomatic . 90% stenosis. method of detection of carotid stenosis in iranian vascular surgery centers should be corrected.