Document Detail

Carotid artery imaging in the United kingdom: a postal questionnaire of current practice.
MedLine Citation:
PMID:  15996375     Owner:  NLM     Status:  MEDLINE    
There has been a steady rise in the use of carotid duplex imaging in the selection of patients for carotid endarterectomy (CEA). Some would suggest that CEA could be safely performed without preoperative contrast angiography. The purpose of this study was to focus on the role of duplex imaging among vascular surgeons in the United Kingdom and to highlight current practices in imaging prior to CEA. A postal questionnaire was sent to all consultant members of the Vascular Surgical Society of Great Britain and Ireland about the choice of imaging prior to selection of patients for CEA, preoperative imaging, and choice of imaging (if any) in the confirmation of carotid occlusion indicated by duplex scanning. Of 396 questionnaires sent, 323 (82%) were returned. Of these, 259 (80%) consultants performed carotid surgery, 118 (45%) in university hospitals (UHs) and 141 (53%) in district general hospitals (DGHs). One hundred eighteen (100%) and 137 (97%) respondents, respectively, chose duplex scanning as their first-line investigation. Sixty (51%) respondents in UHs and 49 (35%) respondents in DGHs repeated duplex scanning immediately preoperatively, with 57 (95%) and 46 (94%), respectively, using duplex scanning. Forty-seven (40%) respondents in UHs and 78 (55%) respondents in DGHs would reconfirm an occlusion, with 30 (64%) and 48 (62%), respectively, using computed tomography and magnetic resonance imaging as their preferred tool. Our study shows that duplex scanning is the first-line imaging technique for patient selection for CEA by vascular surgeons in the United Kingdom. Magnetic resonance imaging and computed tomography are replacing conventional angiography where duplex scanning is equivocal.
Donald Osarumwense; Ravi Pararajasingam; Paul Wilson; John Abraham; Stuart R Walker
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Vascular     Volume:  13     ISSN:  1708-5381     ISO Abbreviation:  Vascular     Publication Date:    2005 May-Jun
Date Detail:
Created Date:  2005-07-05     Completed Date:  2005-09-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101196722     Medline TA:  Vascular     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  173-7     Citation Subset:  IM    
Lancaster and Lake District Vascular Unit, Royal Lancaster Infirmary, Lancaster, United Kingdom.
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MeSH Terms
Arterial Occlusive Diseases / diagnosis,  radiography,  ultrasonography
Carotid Arteries / radiography,  ultrasonography*
Endarterectomy, Carotid*
Great Britain
Health Care Surveys
Magnetic Resonance Angiography
Preoperative Care / methods*
Tomography, X-Ray Computed
Ultrasonography, Doppler, Duplex

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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