Key result
The increasing use of duplex ultrasound as the sole preoperative test for carotid endarterectomy was associated with a reduction in 30-day mortality (from 1.2% to 0.24%) and neurologic morbidity.
Why the study?
Does preoperative duplex ultrasound assessment alone affect 30-day mortality and neurologic morbidity in patients undergoing carotid endarterectomy?
Population
1,149 carotid procedures performed between 1993 and 1996
Comparison
Preoperative duplex ultrasound assessment alone vs Preoperative assessment including cerebral…
Design
Cohort
Follow-up
30-day
Authors
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Duplex ultrasound alone may suffice preoperatively in carotid disease; leaves open need for randomized confirmation before practice change.
Observational (n=1,149)
No
Does preoperative duplex ultrasound assessment alone affect 30-day mortality and neurologic morbidity in patients undergoing carotid endarterectomy?
Using duplex ultrasound as the sole preoperative test for carotid endarterectomy is safe, reduces costs, and avoids arteriography-related complications without increasing 30-day mortality or neurologic morbidity.
Melissano et al. (2001) conducted an observational in Carotid disease (n=1,149). Preoperative duplex ultrasound assessment alone vs. Preoperative assessment including cerebral angiography was evaluated on 30-day mortality and neurologic morbidity. The increasing use of duplex ultrasound as the sole preoperative test for carotid endarterectomy was associated with a reduction in 30-day mortality (from 1.2% to 0.24%) and neurologic morbidity.
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