Perioperative blood pressure alterations after eversion and conventional carotid endarterectomy sustain in the midterm

Objective Carotid endarterectomy (CEA) is associated with a profound effect on blood pressure. The aim of this study was to evaluate 24 h ambulatory blood pressure measurement (ABPM) after eversion (E-CEA) and conventional (C-CEA) endarterectomy including a midterm follow-up. Methods Seventy-one pat...

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Veröffentlicht in:Langenbeck's archives of surgery 2013-02, Vol.398 (2), p.303-312
Hauptverfasser: Demirel, Serdar, Attigah, Nicolas, Bruijnen, Hans, Hakimi, Maani, Burgmer, Benedikta, Böckler, Dittmar
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Sprache:eng
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Zusammenfassung:Objective Carotid endarterectomy (CEA) is associated with a profound effect on blood pressure. The aim of this study was to evaluate 24 h ambulatory blood pressure measurement (ABPM) after eversion (E-CEA) and conventional (C-CEA) endarterectomy including a midterm follow-up. Methods Seventy-one patients were included in this prospective study [E-CEA (37)/C-CEA (34)]. Daytime (8 a.m. to 10 p.m.) and nighttime (10 p.m. to 8 a.m.) ABPMs were analyzed perioperatively and at midterm after a median follow-up period of 9.5 months (interquartile range (IQR) 6.4–17.8) in the E-CEA group and 11.5 months (IQR 8.3–13.6) in the C-CEA group Results Patient demographics and preoperative antihypertensive regimens were similar in the two groups. Compared with baseline, ABPM decreased on postoperative day 1 in the C-CEA group ( P  
ISSN:1435-2443
1435-2451
DOI:10.1007/s00423-013-1048-7