scholarly journals A Modification to the Standard Technique for Carotid Endarterectomy Allowing Removal of Intact Endarterectomy Specimens: Implications for Research and Quality Control of Preoperative Imaging

2002 ◽  
Vol 23 (4) ◽  
pp. 370-371 ◽  
Author(s):  
S.M. Wijeyaratne ◽  
C.R. Abbott ◽  
M.J. Gough
Keyword(s):  
Quality Control ◽  
Carotid Endarterectomy ◽  
Standard Technique ◽  
Preoperative Imaging

scholarly journals A comparison of quality control methods applied to carotid endarterectomy

1996 ◽  
Vol 11 (1) ◽  
pp. 4-11 ◽  
Author(s):  
M.E. Gaunt ◽  
J.L. Smith ◽  
D.A. Ratliff ◽  
P.R.F. Bell ◽  
A.R. Naylor
Keyword(s):  
Quality Control ◽  
Carotid Endarterectomy ◽  
Control Methods

scholarly journals Assessment of Intraoperative Flow Measurement as a Quality Control During Carotid Endarterectomy: A Single-Center Analysis

2020 ◽  
pp. 145749692097113
Author(s):  
A. E. Cyrek ◽  
P. Husen ◽  
S. Radünz ◽  
A. Pacha ◽  
C. Weimar ◽  
...  
Keyword(s):  
Quality Control ◽  
Carotid Endarterectomy ◽  
Flow Measurement ◽  
Intraoperative Imaging ◽  
Intraoperative Ultrasound ◽  
Flow Measurements ◽  
Technical Errors ◽  
Significant Difference ◽  
Artery Disease ◽  
Associated Risk Factors

Background: To evaluate the technical results of the arterial repair, a variety of intraoperative imaging and assessment techniques can be used during carotid endarterectomy. The aim of the study was to evaluate the usefulness of intraoperative ultrasound flow measurement as a quality control after primary carotid endarterectomy in the setting of a teaching hospital. Methods: One hundred and seven consecutive carotid endarterectomies were performed over 24 months at our institution. Retrospectively acquired demographics, intraoperative flow measurements, duplex results, revisions, and surgical outcomes were reviewed. Postoperative 30-day transient ischemic attack, stroke, and death rates were analyzed. Results were compared with ultrasound flow measurement and duplex ultrasonography. Results: From March 2013 to March 2015, 107 primary consecutive carotid endarterectomies were performed in 107 patients (71% male, 29% female). The age ranged from 51 to 81 years with a mean age of 68 ± 4 years. Associated risk factors included diabetes 89 (83%), smoking 92 (86%), hypertension 94 (87.8%), chronic renal insufficiency 71 (66%), and coronary artery disease 57 (53%). Early postoperative duplex scans in all 107 patients showed no significant changes from intraoperative findings. The ipsilateral stroke and death rate in this study was 0 (0/107) and 30-day death and stroke rate was also 0 (0/107), with no significant difference between trainees and senior surgeons. Three patients (2.8 %) had flow <100 mL/min and two of them were revised after completion contrast angiography. Conclusion: The findings of this study indicate that the intraoperative flow measurement is an alternative method for detecting technical errors and a tool for quality control imaging. Especially for the trainees, it makes sense to ensure effectiveness of the procedure upon its completion and to assess the technical adequacy of carotid endarterectomy.

Operative angiography by intraarterial digital subtraction angiography: A new technique for quality control of carotid endarterectomy

1989 ◽  
Vol 9 (4) ◽  
pp. 530-534 ◽  
Author(s):  
Carl E. Bredenberg ◽  
Mark Iannettoni ◽  
Mark Rosenbloom ◽  
Charles J. Hodge ◽  
Gary K. Litvin ◽  
...  
Keyword(s):  
Quality Control ◽  
Carotid Endarterectomy ◽  
Digital Subtraction Angiography ◽  
New Technique ◽  
Digital Subtraction ◽  
A New Technique

scholarly journals Evolving Preoperative Imaging Paradigms Before Carotid Endarterectomy

2018 ◽  
Vol 68 (2) ◽  
pp. e13
Author(s):  
Fatemeh Malekpour ◽  
Jingsheng Yan ◽  
Hong Zhu ◽  
Carlos H. Timaran ◽  
Mahmoud B. Malas ◽  
...  
Keyword(s):  
Carotid Endarterectomy ◽  
Preoperative Imaging

scholarly journals A Policy of Quality Control Assessment Helps to Reduce the Risk of Intraoperative Stroke During Carotid Endarterectomy

1999 ◽  
Vol 17 (3) ◽  
pp. 234-240 ◽  
Author(s):  
N Lennard ◽  
J.L Smith ◽  
M.E Gaunt ◽  
R.J Abbott ◽  
N.J.M London ◽  
...  
Keyword(s):  
Quality Control ◽  
Carotid Endarterectomy

Operative angiography by intraarterial digital subtraction angiography: A new technique for quality control of carotid endarterectomy

1989 ◽  
Vol 9 (4) ◽  
pp. 0530-0534 ◽  
Author(s):  
Carl E. Bredenberg ◽  
Mark Iannettoni ◽  
Mark Rosenbloom ◽  
Charles J. Hodge ◽  
Gary K. Litvin ◽  
...  
Keyword(s):  
Quality Control ◽  
Carotid Endarterectomy ◽  
Digital Subtraction Angiography ◽  
New Technique ◽  
Digital Subtraction ◽  
A New Technique

Intravenous digital subtraction angiography in the assessment of patients for carotid endarterectomy

1983 ◽  
Vol 59 (5) ◽  
pp. 835-838 ◽  
Author(s):  
Andrew H. Kaye ◽  
John R. Little ◽  
Bernadine Bryerton ◽  
Michael Modic
Keyword(s):  
Carotid Endarterectomy ◽  
Carotid Stenosis ◽  
Digital Subtraction Angiography ◽  
Preoperative Imaging ◽  
Digital Subtraction ◽  
Severe Stenosis ◽  
Content Type ◽  
Intravenous Digital Subtraction Angiography ◽  
Deep Ulceration ◽  
Operative Findings

✓ Preoperative intravenous digital subtraction angiography (IV DSA) was compared with the operative findings in 54 patients who underwent a total of 57 carotid endarterectomies, to evaluate the accuracy of preoperative IV DSA in predicting the lesion found at surgery. Four studies early in the series were technically unsatisfactory, leaving 50 patients with 53 procedures for evaluation. Severe carotid artery stenosis was accurately predicted in all cases. Deep ulceration in the absence of severe carotid stenosis was reliably shown by IV DSA, although it was not reliably demonstrated by either IV DSA or carotid angiography if severe stenosis was also present. As severe carotid stenosis or deep ulceration are the major radiological indications for carotid endarterectomy, the authors have found that technically satisfactory IV DSA is an adequate preoperative imaging technique.

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