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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Will carotid thromboendarterectomy remain competitive?: Influence of intraoperative duplex ultrasound quality control
Chirurg, Volume 78, No. 3, Year 2007
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Description
Background. Thromboendarterectomy (TEA) and stenting are in competition for treatment of carotid artery lesions. Both treatment modalities have to improve significantly. The goal of the study was to evaluate the influence of routine intraoperative duplex ultrasound examination. Methods. In a continuous prospective study, 575 patients underwent 620 carotid operations. Intraoperative duplex ultrasound examination was performed prior to wound closure: 9.5% had significant contralateral ICA stenoses and 6.7% ICA occlusion; 8.5% presented special lesions. An eversion TEA was performed in 20.5% while 78.5% underwent conventional TEA with patch plastyand graft interposition in 1%. Intraoperative quality control revealed unexpected lesions in 10% requiring immediate repair. Results. The combined morbidity/mortality rate (MMR) of the total series was 2.6%. Women had an elevated risk (4.2%) in comparison to men (1.9%). The risk of elder patients (>75 years, n=151) was remarkably low. The neurological complication rate of the total series was 1.6% and the incidence of major strokes 1.1%. Conclusions. Routine intraoperative duplex ultrasound examination of the carotid reconstruction allows early diagnosis and immediate correction of morphologic as well as hemodynamic lesions. Competing with stent placement a further reduction of complications of carotid TEA seems to be possible and necessary. © 2007 Springer Medizin Verlag.
Authors & Co-Authors
Kniemeyer, H. W.
Germany, Essen
Elisabeth-krankenhaus Essen
Sporkmann, C.
Germany, Essen
Elisabeth-krankenhaus Essen
Beckmann, H.
Germany, Essen
Elisabeth-krankenhaus Essen
Martinez, R.
Germany, Essen
Elisabeth-krankenhaus Essen
Sabin-Luzius, U.
Germany, Essen
Elisabeth-krankenhaus Essen
Salem, Ayman Abdelhamed
Egypt, Zagazig
Zagazig University
Soliman, A.
Germany, Essen
Elisabeth-krankenhaus Essen
Pühler, A.
Germany, Essen
Elisabeth-krankenhaus Essen
Statistics
Citations: 8
Authors: 8
Affiliations: 2
Identifiers
Doi:
10.1007/s00104-006-1287-z
ISSN:
00094722
Study Design
Cohort Study
Participants Gender
Male
Female