Carotid endarterectomy: a Southern North Island regional consensus statement
Annemarei Ranta1, Dilip Naik, Pietro Cariga
1Department of Neurology, MidCentral Health, Private Bag 11036, Palmerston North 4442, New Zealand. anna.ranta@midcentraldhb.govt.nz
Aims:
The aim of this project was to employ interdepartmental and cross district health board collaboration to reach a regional consensus on the management of patients who may benefit from carotid endarterectomy.
Methods:
All regional stroke physicians, neurologists, and vascular surgeons met to review relevant literature and local audits and to discuss best management strategies suited to the region.
Results:
A consensus statement was agreed upon and is presented here along with a summary of the supporting scientific evidence.
Discussion:
Regional interdisciplinary collaboration proved an effective way to reach a carotid endarterectomy management consensus across a wider geographical area that is served by a single vascular surgery department. This approach could serve as a model for other regional initiatives.
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