The treatment of stroke caused by carotid artery is experiencing gratifying developments. With the techniques developed by the Turkish professor, 45 days after stroke has the chance to gain the health on suitable patients. 

One of the negative consequences of arteriosclerosis, strokes caused by the carotid artery, is the leading disease-related mortality rates. In recent years, “Stroke Surgery” has been developed by Prof. Dr. Yusuf Kalko. There was also being hope for eligible patients which a week and ten days after stroke. Prof.Kalko, in their last case samples, stated that they can get positive response after surgery in appropriate patients who have passed 45 days after stroke.

Cardiovascular Surgery Specialist Prof. Dr. Yusuf Kalko emphasize on   fact changed about, “intervene of the patient 6 hours after the stroke has not notable benefit.” Dr.Kalko said,  “In the medical literature, the fact that changed which about intervene 6 hours after the stroke to patient with paralyzed by carotid artery occlusion has not notable benefit . Stroke surgery can be used until 10th day. We can bring to life for patients who have different degrees. This success; dependent to the general condition of the patient, sometimes even the ability to talk comes back , sometimes we can even get our patients to stand up.In the last case examples we have seen, we have achieved positive results in eligible patients who have passed 45 days after stroke. ”

“100% CLOSED VESSEL CAN BE OPENED, ALSO 100-YEAR-OLD PATIENT CAN BE OPERATED”

Prof. Dr. Kalko said that,  not matter the patient age in vascular blocked surgery. Only with local anesthesia can do all kinds of vascular surgery and he said his oldest patients  were 103 years old. Kalko Stating that ”Stroke Surgery” technique performed with local anesthesia and Minimally Invasive Vascular Surgery technique can be applied to patients with advanced age and additional chronic illnesses, also stated that the method also gives an opportunity to interfere with 100% occluded vessels.

Stroke surgery performed under local anesthesia is kept open to the patient’s consciousness and they can control the return of sensation lost due to carotid artery stroke in this way. Prof. Dr. Yusuf Kalko said that, “The risks to be exposed to the patient are minimized by the use of local anesthesia. This way you avoid complications of general anesthesia. We observe the patient’s consciousness during surgery. This is especially important for elderly patients. Because these patients are not only vascular problems; it also struggles with many ailments from sugar to blood pressure, heart to lung problems. We chatted with them during this operation that we performed only by numbing the patient’s neck during carotid surgery. This conversation keeps them vigorous and prevents loss of consciousness. In case of a slight deterioration in consciousness, we send blood to the brain with the help of a cannula and keep the patient vigorous. Meanwhile, we clean the inside of the vessel and close it quickly. The operation is completed in 30-50 minutes. These surgeries are also advantageous in patients who are not suitable for stents. ”

THE SUCCESS RATE OF HYBRID METHODS IS HIGH

Dr. Kalko underlined that the recently used Hybrid Method is an important improvement in stroke treatment. Dr. Kalko  stated that “Although we try to emphasize preventive medicine about vascular health and draw attention to the early diagnosis, unfortunately, as we see from our patients, people refer to the physician only when the disease progresses. This brings serious difficulties in treatment. We have been able to open a large number of vessels in appropriate patients during the operations we performed by talking with the patient under local anesthesia with Minimally Invasive Vascular Surgery for nearly 10 years. We have made serious progress in vascular surgery on behalf of our country with operations for leg veins and carotid artery. With the recent “hybrid” methods, we perform both open surgery, angiography and stent procedures at the same time. We have seen very complicated cases and vessels that cannot be opened are opened with this method. Of course, this is progressing within the framework of a personalized treatment plan. We cannot talk about the same method in all patients. In some patients, the results can be achieved only by surgery and in others by interventional methods and in others by Hybrid methods. Experienced team, experienced surgeon and patient appropriate method of treatment planning are among the important criteria. “

Şükriye Özgül