Impact of Surgeon Experience During Carotid Endarterectomy Operation and Effects on Perioperative Outcomes

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dc.authoridYuksel, Volkan/0000-0001-9518-2588
dc.authoridHuseyin, Serhat/0000-0003-4118-040X
dc.authorwosidÖzdemir, Ahmet Coşkun/ABE-9344-2020
dc.authorwosidÖzdemir, Ahmet Coşkun/AAL-9081-2021
dc.contributor.authorYuksel, Volkan
dc.contributor.authorOzdemir, Ahmet Coskun
dc.contributor.authorHuseyin, Serhat
dc.contributor.authorGuclu, Orkut
dc.contributor.authorTuran, Fatma Nesrin
dc.contributor.authorCanbaz, Suat
dc.date.accessioned2024-06-12T11:00:23Z
dc.date.available2024-06-12T11:00:23Z
dc.date.issued2016
dc.departmentTrakya Üniversitesien_US
dc.description.abstractObjective: We evaluated the effect of surgeon experience on complication and mortality rates of carotid endarterectomy operation. Methods: Fifty-nine consecutive patients who underwent carotid endarterectomy between January 2013 and February 2016 were divided into two groups. Patients who had been operated by surgeons performing carotid endarterectomy for more than 10 years were allocated to group 1 (experienced surgeons; n=34). Group 2 (younger surgeons; n=25) consisted of patients operated by surgeons independently performing carotid endarterectomy for less than 2 years. Both groups were compared in respect of operative results and postoperative complications. Results: No intergroup difference was found for laterality of the lesion or concomitant coronary artery disease. In group 1, signs of local nerve damage (n=2; 5.9%) were detected, whereas in group 2 no evidence of local nerve damage was observed. Surgeons in group 1 used local and general anesthesia in 3 (8.8%) and 31 (91.2%) patients, respectively, while surgeons in group 2 preferred to use local and general anesthesia in 1 (4%) and 24 (96%) patients, respectively. Postoperative stroke was observed in group 1 (n=2; 5.9%) and group 2 (n=2; 5.8%). Conclusion: Younger surgeons perform carotid endarterectomy with similar techniques and have similar results compared to experienced surgeons. Younger surgeons rarely prefer using shunt during carotid endarterectomy. The experience and the skills gained by these surgeons during their training, under the supervision of experienced surgeons, will enable them to perform successful carotid endarterectomy operations independently after completion of their training period.en_US
dc.identifier.doi10.5935/1678-9741.20160088
dc.identifier.endpage448en_US
dc.identifier.issn0102-7638
dc.identifier.issn1678-9741
dc.identifier.issue6en_US
dc.identifier.pmid28076622en_US
dc.identifier.scopus2-s2.0-85009730063en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage444en_US
dc.identifier.urihttps://doi.org/10.5935/1678-9741.20160088
dc.identifier.urihttps://hdl.handle.net/20.500.14551/20799
dc.identifier.volume31en_US
dc.identifier.wosWOS:000390092400007en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSoc Brasil Cirurgia Cardiovascen_US
dc.relation.ispartofBrazilian Journal Of Cardiovascular Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectEndarterectomy, Carotiden_US
dc.subjectTrainingen_US
dc.subjectStrokeen_US
dc.subjectTreatment Outcomeen_US
dc.subjectRandomized Controlled-Trialen_US
dc.subjectPatch Angioplastyen_US
dc.subjectPrimary Closureen_US
dc.subjectRisk-Factorsen_US
dc.subjectPolytetrafluoroethyleneen_US
dc.subjectStenosisen_US
dc.subjectVeinen_US
dc.titleImpact of Surgeon Experience During Carotid Endarterectomy Operation and Effects on Perioperative Outcomesen_US
dc.typeArticleen_US

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