Mark A. Mattos, MD, Paul S. van Bemmelen, MD, Lynne D

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Presentation transcript:

Routine surveillance after carotid endarterectomy: Does it affect clinical management? Mark A. Mattos, MD, Paul S. van Bemmelen, MD, Lynne D. Barkmeier, MD, Kim J. Hodgson, MD, Don E. Ramsey, MD, David S. Sumner, MD Journal of Vascular Surgery Volume 17, Issue 5, Pages 819-831 (May 1993) DOI: 10.1016/0741-5214(93)90031-G Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Time at which all recurrent stenoses and those with associated symptoms were first detected after carotid endarterectomy. Asterisk indicates patient with stroke. Journal of Vascular Surgery 1993 17, 819-831DOI: (10.1016/0741-5214(93)90031-G) Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Cumulative incidence of recurrent carotid artery stenosis after carotid endarterectomy. Journal of Vascular Surgery 1993 17, 819-831DOI: (10.1016/0741-5214(93)90031-G) Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Flow chart shows fate of 37 carotid arteries with moderate recurrent stenoses (50% to 79% diameter reduction) at time they were first detected. Numbers of arteries are shown in parentheses. ASγMP, Asymptomatic; NH, nonhemispheric symptoms; NO PROG, no progression of stenosis; OCCL, total occlusion of ipsilateral artery. Asterisk after NO CEA indicates that patient refused operation. Journal of Vascular Surgery 1993 17, 819-831DOI: (10.1016/0741-5214(93)90031-G) Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Flow chart shows fate of three carotid arteries with severe recurrent stenoses (80% to 99%) and four total occlusions present at initial follow-up scanning. Symbols are same as in Fig. 3. Asymptomatic severe stenosis was not operated on because stenosis was at borderline of 79% to 80% and patient was reluctant to undergo surgery. Journal of Vascular Surgery 1993 17, 819-831DOI: (10.1016/0741-5214(93)90031-G) Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 5 Ipsilateral stroke-free rates in patients with and without recurrent carotid artery stenosis. Journal of Vascular Surgery 1993 17, 819-831DOI: (10.1016/0741-5214(93)90031-G) Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 6 Ipsilateral stroke-free survival rates in patients with and without recurrent carotid artery stenosis. Journal of Vascular Surgery 1993 17, 819-831DOI: (10.1016/0741-5214(93)90031-G) Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions