特集 頚動脈ステント留置術の工夫―原 著
頚動脈ステント留置術における周術期合併症0を目指した当院での取り組み
2021 年 49 巻 1 号 p. 7-14
詳細
2021 年 49 巻 1 号 p. 7-14
Background: Appropriate preoperative patient evaluation and careful perioperative management are important to perform carotid artery stenting (CAS) safely. We aimed to investigate the usefulness of a preoperative checklist and a procedural routine.
Method: We evaluated patients who had undergone CAS at our hospital between April 2011 and March 2018. A preoperative checklist and procedural routine have been used since October 2014. The patients were divided into a non-checklist group and a checklist group. The clinical characteristics were statistically compared between the two groups.
Result: The non-checklist and checklist groups included 61 (mean age, 74 ± 9 years; 82% male) and 52 patients (mean age, 74 ± 8 years; 83% male), respectively. Comorbidities, hyperlipidemia, and diabetes mellitus occurred significantly more frequently in the checklist group than in the non-checklist group (p ＜ 0.01 and p = 0.03, respectively). Other comorbidities were similarly observed in both groups. Perioperative complications within 30 days after CAS occurred significantly less frequently in the checklist group (11% of the non-checklist group vs. none of the checklist group, p = 0.015).
Conclusion: Using the preoperative checklist for CAS and applying its procedural routine may improve treatment outcomes and result in fewer perioperative complications within 30 days after the procedure.
