Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Carotid endarterectomy without arteriography

A Chervu1, W S Moore

  • 1UCLA School of Medicine 90024.

Annals of Vascular Surgery
|May 1, 1994
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Submarine groundwater discharge estimation in an urbanized embayment in Hong Kong via short-lived radium isotopes and its implication of nutrient loadings and primary production.

Marine pollution bulletin·2014
Same author

History of human activity in coastal southern Brazil from sediment.

Marine pollution bulletin·2013
Same author

Comparison of cone beam CT scans with enhanced photostimulated phosphor plate images in the detection of root fracture of endodontically treated teeth.

Dento maxillo facial radiology·2013
Same author

Cone beam CT scans with and without artefact reduction in root fracture detection of endodontically treated teeth.

Dento maxillo facial radiology·2013
Same author

Why the United States Center for Medicare and Medicaid Services (CMS) should not extend reimbursement indications for carotid artery angioplasty/stenting.

International angiology : a journal of the International Union of Angiology·2012
Same author

Metal artefact reduction with cone beam CT: an in vitro study.

Dento maxillo facial radiology·2012
Same journal

Re: "Contemporary Outcomes of Staged versus Primary Major Amputation for Severe Foot Infection".

Annals of vascular surgery·2026
Same journal

The Role of Large Bore Mechanical Thrombectomy Devices in Tumour Thrombus.

Annals of vascular surgery·2026
Same journal

Utility of Hand Grip Strength in Predicting Mortality Risk in Chronic Limb-Threatening Ischaemia.

Annals of vascular surgery·2026
Same journal

Precision Imaging Evaluation and Clinical Application Progress of Vascular Calcification in Lower Extremity Peripheral Artery Disease.

Annals of vascular surgery·2026
Same journal

Efficacy and Safety of Autologous Versus Prosthetic Grafts in the Repair of Popliteal Artery Aneurysms: A Systematic Review and Meta-Analysis.

Annals of vascular surgery·2026
Same journal

Prognostic Value of Frailty in Aortic Surgery: A Systematic Review and Meta-Analysis Comparing Frailty Assessment Tools.

Annals of vascular surgery·2026
See all related articles

Carotid endarterectomy can be safely performed without arteriography, using duplex scans and clinical evaluation. This approach significantly reduces neurologic complications associated with traditional arteriography.

Area of Science:

  • Vascular Surgery
  • Neurology
  • Diagnostic Imaging

Background:

  • Arteriography is the traditional standard for cerebrovascular evaluation before carotid endarterectomy.
  • Arteriography carries a significant neurologic complication risk, up to 12% in high-risk patients.
  • Duplex ultrasound has demonstrated higher sensitivity than arteriography when compared to surgical specimens.

Purpose of the Study:

  • To evaluate the safety and efficacy of performing carotid endarterectomy without preoperative arteriography.
  • To assess the diagnostic accuracy of duplex scanning in cerebrovascular evaluation.
  • To determine the neurologic complication rates in patients undergoing carotid endarterectomy with or without arteriography.

Main Methods:

  • Retrospective analysis of 174 carotid endarterectomies performed between January 1986 and December 1991.

Related Experiment Videos

  • Comparison of outcomes between patients who underwent preoperative arteriography and those who did not.
  • Correlation of duplex scan findings with intraoperative findings and completion arteriograms.
  • Assessment of neurologic complication rates, including stroke and transient ischemic attacks.

    • Main Results:

    • 110 carotid endarterectomies were performed without preoperative arteriography, with operative findings confirming duplex scan results in all cases.
    • The overall neurologic complication rate was 0.66% (one death) and 2.6% (four transient ischemic attacks).
    • Intracranial views in a subset of patients revealed findings that would not have altered management.

    Conclusions:

    • Carotid endarterectomy can be safely performed without preoperative arteriography.
    • A comprehensive clinical evaluation, including physical examination, bilateral blood pressure measurements, and a validated duplex scan, is sufficient for patient selection.
    • This approach minimizes risks associated with arteriography while maintaining excellent safety and efficacy in carotid endarterectomy procedures.