scholarly journals Impact of routine completion angiography on outcome after carotid endarterectomy

2019 ◽  
Vol 69 (3) ◽  
pp. 824-831 ◽  
Author(s):  
Carola Marie Wieker ◽  
Katharina Harcos ◽  
Ulrich Ronellenfitsch ◽  
Serdar Demirel ◽  
Hans Bruijnen ◽  
...  
Keyword(s):  
Carotid Endarterectomy ◽  
Completion Angiography

scholarly journals General vs Local Anesthesia and Completion Angiography Findings After Carotid Endarterectomy

2019 ◽  
Vol 58 (6) ◽  
pp. e645-e646
Author(s):  
Xavier Jimenez-Guiu ◽  
Carlos Martinez-Rico ◽  
Eudald Barjau-Urrea ◽  
Antonio Romera-Villegas ◽  
Malka Huici-Sanchez ◽  
...  
Keyword(s):  
Carotid Endarterectomy ◽  
Local Anesthesia ◽  
Completion Angiography

Intracranial dissection during carotid endarterectomy treated by carotid stenting

VASA ◽  
2009 ◽  
Vol 38 (1) ◽  
pp. 81-84 ◽  
Author(s):  
Attigah ◽  
Ganten ◽  
Hyhlik-Dürr ◽  
Kotelis ◽  
Geisbüsch ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Carotid Endarterectomy ◽  
Cerebral Perfusion ◽  
Internal Carotid ◽  
Fatal Outcome ◽  
Carotid Stenting ◽  
Thrombotic Occlusion ◽  
Completion Angiography ◽  
Intracranial Dissection

Intracranial dissection of the internal carotid artery after carotid endarterectomy (CEA) is a serious complication with a potentially fatal outcome. We report on a 67 male with a symptomatic high grad stenosis of the internal carotid artery. Intraoperative completion angiography showed a thrombotic occlusion and the internal carotid artery (ICA) was resected with interposition of a Dacron graft. Completion angiography then revealed a dissection of the petreous ICA, which was corrected by insertion of a coronary artery stent.Stenting of the ICA is a useful tool to restore cerebral perfusion without time delay and completion imaging is extremely helpful for early detection of dissection during CEA.

scholarly journals Impact of Routine Completion Angiography on the Results of Primary Carotid Endarterectomy: A Prospective Study in a Teaching Hospital

2011 ◽  
Vol 53 (5) ◽  
pp. 1450
Author(s):  
J.-B. Ricco ◽  
G. Régnault de la Mothe ◽  
S. Fujita ◽  
O. Page ◽  
A. Valagier ◽  
...  
Keyword(s):  
Prospective Study ◽  
Carotid Endarterectomy ◽  
Teaching Hospital ◽  
A Prospective Study ◽  
Completion Angiography

Cost-effectiveness of Intraoperative Imaging in Carotid Endarterectomy

Neurosurgery ◽  
2005 ◽  
Vol 57 (3) ◽  
pp. 478-485 ◽  
Author(s):  
Mark G. Burnett ◽  
Sherman C. Stein ◽  
Seema S. Sonnad ◽  
Eric L. Zager
Keyword(s):  
Cost Effectiveness ◽  
Carotid Endarterectomy ◽  
English Language ◽  
Intraoperative Imaging ◽  
Controlled Trial ◽  
Intraoperative Ultrasound ◽  
Decision Analytic Model ◽  
Perioperative Stroke ◽  
The Impact ◽  
Completion Angiography

ABSTRACT OBJECTIVE: There has never been a large, randomized controlled trial to assess the impact of intraoperative imaging on the success of carotid endarterectomy (CEA). This comparison involves cost-effectiveness analysis. METHODS: We constructed a decision-analytic model to compare effectiveness and costs of intraoperative ultrasound (IUS) and completion angiography as adjuncts to CEA. Data on procedural mortality, morbidity, and costs were obtained from the English-language literature. The review included a total of 52 reports, encompassing more than 22,000 patients. The main components of costs were those of the monitoring interventions and the care of perioperative stroke. RESULTS: Mean perioperative outcome without completion imaging is approximately 96.7% of what it would be in the absence of perioperative stroke or death. IUS and completion angiography each result in approximately 2% improvement in expected outcome. Mean perioperative costs are $396.50 for IUS, $721.30 for no monitoring, and $840.90 for completion angiography. Because IUS is significantly more effective at detecting technical errors that would likely result in perioperative stroke than no imaging and is significantly less costly than angiography, this strategy dominates the other two (i.e., it provides greater effectiveness at lower cost). CONCLUSION: Although surgical complications are uncommon, IUS substantially lowers the rate of perioperative stroke and mortality and thus is significantly more cost-effective than either completion angiography or no operative imaging.

scholarly journals Routine Completion Angiography during Carotid Endarterectomy is not Mandatory

2006 ◽  
Vol 32 (4) ◽  
pp. 369-373 ◽  
Author(s):  
C. Pratesi ◽  
W. Dorigo ◽  
N. Troisi ◽  
A. Fargion ◽  
A.A. Innocenti ◽  
...  
Keyword(s):  
Carotid Endarterectomy ◽  
Completion Angiography

scholarly journals Impact of Completion Angiography on Operative Conduct and Results of Carotid Endarterectomy

1993 ◽  
Vol 217 (6) ◽  
pp. 682-687 ◽  
Author(s):  
Magruder C. Donaldson ◽  
Bengt L. Ivarsson ◽  
John A. Mannick ◽  
Anthony D. Whittemore
Keyword(s):  
Carotid Endarterectomy ◽  
Completion Angiography
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