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Online ISSN 1827-1847
Ronsisvalle S., Pettenuzzo F., Vedolin G. *, Caporale F. **, Faresin F. **
From the Department of Vascular Surgery * Anaesthesia and Resuscitation ** Geriatrics Cittadella Hospital, ASL n. 15, Cittadella (Padua)
Between January 1997 and September 1998, 406 carotid endarterectomies were performed after colour Doppler scans and angiographic examinations of the supraortic trunci. Since September 1998, 100 of the 150 surgical procedures were performed after colour Doppler scans alone. For the past year all patients suffering from acute cerebrovascular incidents have been included in a diagnostic-therapeutic protocol for urgent/emergency cases of carotid surgery based on the assumption that surgery will be performed with a maximum 6 hours of onset, that the cerebral CT scan is negative or reveals only minor ischaemic damage, that a colour Doppler scan is performed with angiographic examination of surgically treatable carotid lesions (pronounced stenosis, pseudo-occlusion, segmentary occlusion, dissection) as an optional extra. The paper describes the management of one case of acute stroke caused by a cardiac embolism. Though numerically limited the results support data reported in the literature in suggesting that surgical treatment of the type of carotid lesions described can resolve major neurological pictures and that the colour Doppler scan offers significant information on its own for the selection of patients eligible for carotid revascularisation.
language: English, Italian