Can duplex ultrasonography select appropriate patients for carotid endarterectomy?
نویسندگان
چکیده
منابع مشابه
EDITORIAL: Intraoperative Duplex Imaging of Carotid Endarterectomy
Improved outcome following carotid endarterectomy becoming the favoured technique for completion imis dependent upon low surgical morbidity and moraging, because it provides both anatomical and haemotality rates. Guidelines for performing carotid enddynamic information without increasing the risk of arterectomy recommend that surgeons should have a the procedure. documented complication rate of...
متن کاملThe appropriate use of carotid endarterectomy.
For the first 30 years after carotid endarterectomy was first developed, anecdotal evidence was used to identify patients with internal carotid artery disease for whom this procedure would be appropriate. More recently, the appropriateness of carotid endarterectomy for symptomatic patients and asymptomatic subjects has emerged from 7 randomized trials. Risk of stroke and benefit from the proced...
متن کاملChanges over time in optimal duplex threshold for the identification of patients eligible for carotid endarterectomy.
BACKGROUND AND PURPOSE Two surgical trials established that carotid endarterectomy is beneficial to symptomatic patients who have a severe internal carotid artery (ICA) stenosis on angiograms. Duplex ultrasonography-derived hemodynamic parameters show a good correlation with angiography and are often used for detecting severe ICA stenoses. However, duplex performance is ultrasound machine and o...
متن کاملIs routine duplex ultrasound surveillance after carotid endarterectomy cost-effective?
BACKGROUND Although duplex ultrasound surveillance of patients after carotid endarterectomy (CEA) is routinely performed, the use of this policy has been questioned. We evaluated the cost-effectiveness of this strategy. METHODS Using a decision-analytic Markov model that depicts the natural history of patients after CEA, we compared a strategy of duplex ultrasound surveillance to a strategy o...
متن کاملCerebral monitoring during carotid endarterectomy by transcranial Doppler ultrasonography
PURPOSE To evaluate the efficacy and safety of cerebral monitoring by transcranial Doppler ultrasonography (TCD) for the detection of cerebral ischemia during carotid endarterectomy (CEA). METHODS From August 2004 to December 2013, 159 CEAs were performed in a tertiary hospital. All procedures were performed under general anesthesia. Intraoperative TCD was routinely used to detect cerebral is...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: European Journal of Vascular and Endovascular Surgery
سال: 1997
ISSN: 1078-5884
DOI: 10.1016/s1078-5884(97)80123-2