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Eur J Vasc Endovasc Surg. 2000 Sep;20(3):250-3.

Carotid endarterectomy without angiography: a prospective randomised pilot study.

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  • 1Department of Vascular Surgery, University of Padua School of Medicine, Padua, Italy.

Abstract

OBJECTIVES:

to determine whether duplex ultrasonography alone is an adequate examination prior to carotid endarterectomy.

DESIGN:

prospective, randomised, single centre study.

MATERIAL AND METHODS:

all patients with carotid bifurcation stenosis greater than 70% - based on duplex scanning - were randomised to arteriography followed by carotid surgery (Group A n=96) or carotid surgery alone (Group B n=90). Study endpoints were neurological complications or death occurring between the day of randomisation and until 30 days after surgery.

RESULTS:

major neurological complications of death in 1 (1%) vs 3 (3.3%) patients in group A and B, respectively (n.s.). Minor neurological complications (only TIA) were observed in 0 and 3 (3.3%) patients, respectively.

CONCLUSIONS:

complication rates were low in both groups and within the generally accepted rate after carotid surgery in asymptomatic and symptomatic patients.

Copyright 2000 Harcourt Publishers Ltd.

PMID:
10986023
[PubMed - indexed for MEDLINE]
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