title: Impact of duplex scanning on carotid endarterectomy.
abstract: Duplex ultrasound permits safe and accurate assessment of the extracranial vasculature. This paper reports the change in patterns of referral to a specialized vascular unit following its introduction; increased referrals were seen in all specialties except neurology. A widely available and reliable duplex service has revealed more extracranial vascular disease than was previously recognized, and has increased referrals for carotid endarterectomy, thereby increasing surgical workload.
authors.affiliation: Department of Vascular Surgery, Royal South Hampshire Hospital, Southampton, UK.
authors.forename: A D
authors.initials: AD
authors.lastname: Chant
authors.forename: J F
authors.initials: JF
authors.lastname: Thompson
authors.forename: G J
authors.initials: GJ
authors.lastname: Stranks
authors.forename: C
authors.initials: C
authors.lastname: Ranaboldo
authors.forename: K N
authors.initials: KN
authors.lastname: Humphries
authors.forename: T K
authors.initials: TK
authors.lastname: Hames
authors.forename: P C
authors.initials: PC
authors.lastname: Clifford
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001161:Arteriosclerosis / Q000175:diagnosis*; D002339:Carotid Arteries / Q000000981:diagnostic imaging / Q000601:surgery*; D002340:Carotid Artery Diseases / Q000175:diagnosis* / Q000601:surgery; D002561:Cerebrovascular Disorders / Q000175:diagnosis; D004691:Endarterectomy / Q000639:trends; D006801:Humans; D008875:Middle Aged; D011446:Prospective Studies; D011859:Radiography; D012017:Referral and Consultation / Q000639:trends; D014463:Ultrasonography / Q000639:trends