The appropriateness of carotid endarterectomy
نویسندگان
چکیده
منابع مشابه
Revisiting the appropriateness of carotid endarterectomy.
BACKGROUND AND PURPOSE In the 1980s, carotid endarterectomy was controversial because proof of efficacy was lacking, complication rates were high, and one third of cases were reported to be inappropriate. Since publication of several randomized controlled trials (RCTs), rates of carotid endarterectomy have doubled nationwide. This study assesses the appropriateness and use of carotid endarterec...
متن کاملAn audit tool for assessing the appropriateness of carotid endarterectomy
BACKGROUND To update appropriateness ratings for carotid endarterectomy using the best clinical evidence and to develop a tool to audit the procedure's use. METHODS A nine-member expert panel drawn from all the Canadian Specialist societies that are involved in the care of patients with carotid artery disease, used the RAND Appropriateness Methodology to rate scenarios where carotid endartere...
متن کاملRace, presenting signs and symptoms, use of carotid artery imaging, and appropriateness of carotid endarterectomy.
BACKGROUND AND PURPOSE We sought to determine whether there are racial differences in use of carotid artery imaging after controlling for clinical factors and to ascertain racial differences in presenting signs and symptoms and overall appropriateness for carotid endarterectomy (CE). METHODS We performed a retrospective cohort study of 803 patients older than 45 years, hospitalized between 19...
متن کاملRedo carotid endarterectomy versus primary carotid endarterectomy.
BACKGROUND AND PURPOSE Several authorities have recently advocated carotid stenting for recurrent carotid stenosis because of the perception that redo surgery has a higher complication rate than primary carotid endarterectomy (CEA). This study compares the early and late results of reoperations versus primary CEA. METHODS All reoperations for recurrent carotid stenosis performed during a rece...
متن کاملImproving the appropriateness of carotid endarterectomy: results of a prospective city-wide study.
BACKGROUND AND PURPOSE In light of previously reported concerns regarding carotid endarterectomy (CEA) use in our city, our goal was to determine the influence of a prospective audit and educational campaign on the performance of CEA with respect to surgical appropriateness and complication frequency. METHODS Results of our previous audit of 291 CEAs, along with CEA practice guidelines and no...
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ژورنال
عنوان ژورنال: Journal of Vascular Surgery
سال: 1989
ISSN: 0741-5214
DOI: 10.1016/0741-5214(89)90306-6