Carotid endarterectomy without angiography.
Between 1 January 1990 and 1 September 1994 a total of 109 carotid endarterectomies were performed without preoperative angiography. Only two cases were considered by the surgeon to have a poor correlation between the duplex examination results and intraoperative findings; the outcome was good in both. The perioperative mortality rate was 1.8 per cent, one patient dying from sudden haematoma causing asphyxia and the other from unrelated causes following a myocardial revascularization procedure. Two non-disabling strokes also occurred. These results suggest that carotid endarterectomy based on carotid duplex scanning alone without preoperative angiography is safe in selected patients.
Shifrin
E G
EG
Department of Vascular Surgery, Elias Sourasky Tel-Aviv Medical Center, Israel.
Bornstein
N M
NM
Kantarovsky
A
A
Morag
B
B
Zelmanovich
L
L
Portnoi
I
I
Aronovich
B
B
D000368:Aged; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging; D016893:Carotid Stenosis / Q000000981:diagnostic imaging / Q000601:surgery*; D003657:Decision Making; D016894:Endarterectomy, Carotid / Q000379:methods*; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology; D008297:Male; D011300:Preoperative Care; D011859:Radiography; D012307:Risk Factors; D018608:Ultrasonography, Doppler