Evaluation of Hemodynamic Changes in Patients with Carotid Stenosis Undergoing Carotid Endarterectomy in Razi Hospital

Abstract

Introduction: The purpose of this longitudinal study was to determine the extent of hemodynamic changes after carotid antrectomy in patients with carotid artery stenosis hospitalization to intensive care unit (ICU) of Razi Hospital and how factors affect it and provide necessary measures to improve blood pressure control and increase the quality of life in these patients.

Material and Methods: This is a longitudinal study in which all patients with carotid artery stenosis referred to Razi Hospital of Rasht from 2006 to 2016 who underwent carotid endarterectomy were enrolled. Changes in vital signs including systolic and diastolic pressure, heart rate and body temperature of patients who were checked every 6 hours before and after surgery, in the second 24 hours after surgery, ICU, Length of hospital stay and ICU mortality were recorded.

Results: In this study, the mean age of patients was 68.42 ± 9.97 years. Sixty-four (97%) patients had at least one underlying disease. Our results showed that there was a statistically significant difference in systolic blood pressure at the time of surgery. Means preoperative systolic blood pressure was 119.89±11.89 and this mean increases to 138.89±16.66 at 48 hours after surgery.

Conclusion: The results of this study showed that blood pressure control in patients with blood pressure changes during and after surgery; hemodynamic changes after endarterectomy and the everyday dangers of cerebral hemorrhage decreased and prevented vascular thrombosis. It can be concluded that controlling hemodynamic parameters as well as vital signs of patients resulted in the relative stability of these parameters. Ultimately the death rate slaked to nought.