Home > Riviste > The Journal of Cardiovascular Surgery > Fascicoli precedenti > The Journal of Cardiovascular Surgery 1998 December;39(6) > The Journal of Cardiovascular Surgery 1998 December;39(6):703-7

ULTIMO FASCICOLO
 

ARTICLE TOOLS

Estratti

THE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,179


eTOC

 

ORIGINAL ARTICLES  VASCULAR PAPERS


The Journal of Cardiovascular Surgery 1998 December;39(6):703-7

Copyright © 2000 EDIZIONI MINERVA MEDICA

lingua: Inglese

Carotid endarterectomy: changing practice patterns

Mukherjee D.

From the Fairfax Hospital, Falls Church, VA University of Health Sciences, Bethesda, Maryland Georgetown University Hospital, Washington, D.C., USA


PDF  


Back­ground. ­Cost-effec­tive ­carotid endar­te­rec­tomy ­implies a ­good out­come; low mor­bidity, a ­short hos­pital ­stay and selec­tive use of non-inva­sive pre­op­er­a­tive diag­nostic ­tests ­done ­alone.
­Methods. A ­solo ­surgeon’s clin­ical expe­ri­ence ­with two hun­dred and ­eighteen con­sec­u­tive oper­a­tions, ­over ­seven ­years, at two Com­mu­nity Hos­pi­tals in ­Northern Vir­ginia.
­Results. ­There ­were ­three per­i­op­er­a­tive ­strokes, of ­which one ­resulted in ­death, for a mor­tality ­rate of 0.45%, and a ­stroke ­rate of 1.4%. The ­majority of the oper­a­tions in the ­past two ­years ­were ­done on the ­basis of ­Duplex ultra­so­nog­raphy and mag­netic res­o­nance angio­graphy, but ­without inva­sive angio­graphy. Gen­eral anes­thesia, rou­tine use of ­shunt and use of autog­e­nous ­vein ­patch in ­almost ­every ­case was ­employed. ­Patients ­were selec­tively ­observed in the Inten­sive ­Care ­Unit post­op­er­a­tively. ­Forty ­eight per­cent of the ­series and 75% of the ­most ­recent 121 ­patients oper­ated on in 1995 and 1996 ­were dis­charged on the ­first post­op­er­a­tive day ­without any ­need for re-ad­mis­sion to the hos­pital.
Con­clu­sions. ­Carotid endar­te­rec­tomy can be per­formed ­with a ­short hos­pital ­stay and an ­extremely low mor­bidity and mor­tality. ­Carotid endar­te­rec­tomy is a ­highly effec­tive sur­gical pro­ce­dure ­both ­from the med­ical and ­economy stand­-points.

inizio pagina

Publication History

Per citare questo articolo

Corresponding author e-mail