[Duplex surveillance after carotid endarteriectomy: review of the literature].
Duplex surveillance after carotid endarterectomy is a common practice but no consensus has been reached. On one hand, the low rate of restenosis, the low probability of post-operative stroke and a poor cost-effectiveness are advocating against this strategy. On the other hand, progression of controlateral atherosclerostic lesions leads to justify an ultrasound rather than a clinical follow-up. Neither literature nor recommendation allows today a validated policy. Therefore, it is possible to propose a reasonable strategy in order to balance cost and patient's benefit.
Kownator
S
S
Cabinet de cardiologie, 1, allée Poincaré, 57100 Thionville, France. s.kownator@wanadoo.fr
D001161:Arteriosclerosis / Q000473:pathology; D016893:Carotid Stenosis / Q000000981:diagnostic imaging* / Q000601:surgery*; D003362:Cost-Benefit Analysis; D018450:Disease Progression; D016894:Endarterectomy, Carotid; D006801:Humans; D011183:Postoperative Complications; D012008:Recurrence; D020521:Stroke / Q000209:etiology / Q000517:prevention & control; D018616:Ultrasonography, Doppler, Duplex