TY - JOUR
T1 - The application of operative ultrasound immediately following carotid endarterectomy
AU - Lane, Rodney J.
AU - Ackroyd, Nigel
AU - Appleberg, Michael
AU - Graham, John
PY - 1987/10
Y1 - 1987/10
N2 - One hundred and seventy-five carotid bifurcations have been scanned using intraoperative ultrasonic imaging. The technique is simple, reproducible, rapid, and reliable. Intimal flaps, clamp stenoses, residual plaques, and platelet accumulations were detected by this method. Most technical defects occurred in the external carotid artery (12%), and it is recommended that significant lesions remaining in this vessel should be removed. Defects in the internal carotid artery and common carotid artery were much less common (7%) and most of these were quite small, not requiring reopening. In fact, only 2% required reopening. In 1% of patients there were defects detected that led to stroke, which would have been removed on present criteria. Although there were other causes of stroke, technical error remains an immediately reversible source of postoperative stroke that can be avoided by the use of operative ultrasonic imaging. Long-term minor defects, as followed by noninvasive tests, rarely became significant and bore no relationship to the development of restenosis.
AB - One hundred and seventy-five carotid bifurcations have been scanned using intraoperative ultrasonic imaging. The technique is simple, reproducible, rapid, and reliable. Intimal flaps, clamp stenoses, residual plaques, and platelet accumulations were detected by this method. Most technical defects occurred in the external carotid artery (12%), and it is recommended that significant lesions remaining in this vessel should be removed. Defects in the internal carotid artery and common carotid artery were much less common (7%) and most of these were quite small, not requiring reopening. In fact, only 2% required reopening. In 1% of patients there were defects detected that led to stroke, which would have been removed on present criteria. Although there were other causes of stroke, technical error remains an immediately reversible source of postoperative stroke that can be avoided by the use of operative ultrasonic imaging. Long-term minor defects, as followed by noninvasive tests, rarely became significant and bore no relationship to the development of restenosis.
UR - http://www.scopus.com/inward/record.url?scp=0023427850&partnerID=8YFLogxK
U2 - 10.1007/BF01655833
DO - 10.1007/BF01655833
M3 - Article
C2 - 3314179
AN - SCOPUS:0023427850
VL - 11
SP - 593
EP - 597
JO - World Journal of Surgery
JF - World Journal of Surgery
SN - 0364-2313
IS - 5
ER -