Type:
Educational Exhibit
Keywords:
Not applicable, Arteriosclerosis, Surgery, Complications, Ultrasound-Spectral Doppler, Ultrasound-Colour Doppler, Ultrasound, Vascular
Authors:
H. Varela1, J. Crosta1, P. TARRAGA TOLABA1, A. M. perdomo olivera1, J. A. Palacios Cuesta2, N. H. C. P. CUSSA NAIZIR2, D. Vargas Flores1, Y. P. Narváez Rojas1, L. Borrino1; 1Buenos Aires/AR, 2Pablo Nogues/AR
DOI:
10.26044/ecr2020/C-07465
Background
Carotid endarterectomy is a revascularization technic whose main objective is to prevent new ischemic brain episodes in patients with an established risk.
The NASCET study published in 1991, has shown that symptomatic patients with >70% carotid stenosis, will benefit from a surgical treatment (endarterectomy vs medical treatment), with a smaller stroke recurrence rate. Since then, there will be 29 years now, that endarterectomy is been performed.
Duplex Ultrasound is one of the most useful methods to do follow-up, because it is non-invasive, with good sensitivity and specificity, high accessibility and low cost, but is an operator dependent study and requires experience for its proper interpretation.
The study can be perform in the inmediate postoperative time or also, as a surveillance study in long term follow up.
It is important to note that the data collected from postcarotid artery stenting, will not be interpreted in the same way as for carotid endarterectomy (CEA).
