Clinical follow-up rather than duplex surveillance after carotid endarterectomy
| Autor: | R. Cuming, David K. Beattie, Roger M. Greenhalgh, Alun H. Davies, Jonathan Golledge, M. Ellis |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
medicine.medical_specialty
Duplex ultrasonography medicine.medical_treatment Carotid endarterectomy Severity of Illness Index Restenosis Recurrence medicine.artery medicine Humans Carotid Stenosis Life Tables Prospective Studies cardiovascular diseases Stroke Endarterectomy Endarterectomy Carotid business.industry Vascular disease medicine.disease Surgery Cerebrovascular Disorders Treatment Outcome Ischemic Attack Transient Population Surveillance Disease Progression Radiology Internal carotid artery business Complication Cardiology and Cardiovascular Medicine Carotid Artery Internal Follow-Up Studies |
| Zdroj: | Journal of Vascular Surgery. 25(1):55-63 |
| ISSN: | 0741-5214 |
| DOI: | 10.1016/s0741-5214(97)70321-5 |
| Popis: | Purpose: The value of duplex surveillance and the significance of contralateral carotid disease after endarterectomy have been assessed.Methods: Three hundred five patients were observed prospectively after carotid endarterectomy for a median time of 36 months (range, 6 to 96 months), with duplex surveillance performed at 1 day; 1 week; 3, 6, 9, and 12 months; and then each year after endarterectomy.Results: Thirty patients (10%) had ipsilateral symptoms (13 strokes, 17 transient ischemic attacks [TIAs]) at a median time of 6 months (range, 0 to 60 months). Life table analysis demonstrated that ipsilateral stroke was equally common for patients who had ≥50% restenosis (3% at 36 months) and those who did not (6% at 36 months, p > 0.5). Twenty-three patients (8%) developed symptoms (stroke 5, TIA 14) attributable to the contralateral carotid artery at a median time of 9 months (range, 0 to 36 months) after endarterectomy. By life table analysis, 40% of patients with 70% to 99%, 6% with 50% to 69%, 1% with |
| Databáze: | OpenAIRE |
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