The incidence of prolonged stay in ICU due to the development of reperfusion syndrome after carotid endarterectomy – five year analisis from University Clinical Center of Banjaluka

Carotid endarterectomy (CEA) ist the most most frequently performed vascular surgical procedure, and belongs to the type of preventive interventions. Reperfusion syndrome is relatively rare complications of this procedure, but with clinically significant and potentially fatal consequences that can seriously compromise the outcome of treatment after CEA. The focus of this study is on frecuency of development of RS, the factors that favor its occurrence, causes of hemodinamc instability, the modalities of early diagnosis, as well as the possibilities of preventing this complication. The research covered the period from 2018 to 2022 during wich 963 CEA were performed.
Karotidna endarterektomija (CAE) je najčešće izvođeni operativni zahvat vaskularne kirurgije. Spada u niz preventivnih postupaka. Reperfuzijski sindrom je relativno rijetka komplikacija ovog operativnog zahvata, ali s klinički značajnim i potencijalno opasnim posljedicama koje mogu ozbiljno ugroziti ishod liječenja nakon CEA. Fokus ovog rada je na učestalosti razvoja cerebralnog reperfuzijskog sindroma (CRS), čimbenicima koji pogoduju njegovoj pojavi, uzrocima hemodinamske nestabilnosti perioperativno, te modalitetima rane dijagnoze i terapijskog pristupa, kao i mogućnostima prevencije razvoja ove komplikaciju. Istraživanje je obuhvatilo petogodišnje razdoblje (2018–2022) KB Banjaluka u kojem su urađene 963 karotidne endarterektomije.