Document Detail

Decreasing the Delay to Carotid Endarterectomy in Symptomatic Patients with Carotid Stenosis - Outcome of an Intervention.
MedLine Citation:
PMID:  22841357     Owner:  NLM     Status:  Publisher    
OBJECTIVES: Surgical treatment of carotid stenosis after the onset of ischaemic symptoms should be performed within 2 weeks. This aim was accomplished only in 11% during the years 2007-2008 in the Helsinki University Central Hospital (HUCH) region. Since then, special efforts have been made in order to shorten the delay. The aim of this study was to find out how these changes affected the symptom-to-knife time (SKT). MATERIALS AND METHODS: All symptomatic patients (n = 144) who had carotid endarterectomy (CEA, n = 145) in HUCH in 2010 were retrospectively analysed and the SKT was determined. RESULTS: Of the operations, 37% (n = 53) were performed within the recommended 2 weeks. The median SKT was 19 days (1-183). Of the patients who came to HUCH on an emergency basis (n = 80), 55% (n = 45) were operated within 2 weeks and their median SKT was 13 days (1-148). CONCLUSIONS: The changes that were made in 2008-2009 have significantly shortened the delay in the treatment of carotid stenosis, but the desired time frame of 2 weeks was reached far too seldom. The greatest benefit from preventive CEA is achieved when patients are referred emergently to a clinic where neurologist, imaging resources and vascular surgeon are available.
K Noronen; P Vikatmaa; T Sairanen; M Lepäntalo; M Venermo
Related Documents :
1576127 - Comparison of results after heart transplantation: mechanically supported versus nonsup...
19770237 - Seasonality of mortality: the september phenomenon in mediterranean countries.
19692267 - Acute kidney injury in adult postcardiotomy patients with extracorporeal membrane oxyge...
23363647 - Periodical assessment of genitourinary and gastrointestinal toxicity in patients who un...
17070157 - Role of probucol in inhibiting intimal hyperplasia after coronary stent implantation: a...
16891937 - Intra-articular calcaneal fractures treated nonoperatively and followed sequentially fo...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-7-25
Journal Detail:
Title:  European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery     Volume:  -     ISSN:  1532-2165     ISO Abbreviation:  -     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-7-30     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9512728     Medline TA:  Eur J Vasc Endovasc Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.
Department of Vascular Surgery, Helsinki University Central Hospital (HUCH), P.O. Box 340, 00029 HUS, Helsinki, Finland.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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

Previous Document:  Pulmonary embolism and intracranial hemorrhage: Is there still an indication for a caval filter plac...
Next Document:  Skeletal Muscle Adaptation in Response to Supervised Exercise Training for Intermittent Claudication...