Cost-efficient carotid surgery: A comprehensive evaluation

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Cost-effective evaluation and treatment for carotid disease.

OBJECTIVE To compare carotid endarterectomy (CEA) based solely on Duplex ultrasonography (DU) with CEA based on DU and arteriography. DESIGN AND SETTING Retrospective case series analysis in a regional tertiary care center. PATIENTS Consecutive sample of 194 patients undergoing 218 CEAs from January 1, 1993, through June 30, 1995, with either preoperative DU plus arteriography (165 CEAs) or...

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Cost-effective carotid endarterectomy.

BACKGROUND Carotid endarterectomy is the most common vascular procedure performed, with an annual cost of $1.2 billion. Efforts to control the cost associated with this procedure include limiting preoperative studies, avoiding admissions to the intensive care unit, and encouraging early postoperative discharge. METHODS To determine our surgical results and the cost associated with this proced...

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Carotid sinus syndrome after carotid artery surgery.

A 63 year old woman had been intensively treated for recurrent carcinoma of the neck. Following acute vascular surgery of the carotid artery, she developed the vasodilatory type of the carotid sinus syndrome. The presentation of this type of the syndrome was remarkable, since it is usually associated with primary or metastatic carcinoma in the neck region. Previous cancer treatment may have mod...

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Carotid endarterectomy for asymptomatic carotid stenosis: asymptomatic carotid surgery trial.

Effective prevention is inarguably the best option for reducing the individual and societal burden of stroke. For each patient, clinicians balance the benefits of a given preventive therapy against its associated risks and costs. Where possible, these assessments should be based on the results of randomized clinical trials. Carotid endarterectomy (CEA), the most-commonly used surgical procedure...

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Making carotid surgery safer.

Carotid surgery has been shown to be beneficial in level one randomised trials. However, evidence suggests that current outcomes do not match those published in 1991. In order to make carotid endarterectomy safer in the future, it is essential to optimise patient selection and risk factor management and to maintain an obsessional approach to surgical technique. A planned strategy of monitoring ...

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ژورنال

عنوان ژورنال: Journal of Vascular Surgery

سال: 1996

ISSN: 0741-5214

DOI: 10.1016/s0741-5214(96)70052-6