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Accuracy of duplex sonography before carotid endarterectomy--a comparison with angiography

Hansen, F ; Bergqvist, D ; Lindblad, Bengt LU ; Lindh, Mats LU ; Mätzsch, Thomas LU and Lanne, T (1996) In European Journal of Vascular and Endovascular Surgery 12(3). p.331-336
Abstract
OBJECTIVES: The aim of this prospective study was to contribute to the evaluation of the reliability of Duplex sonography (DS) before carotid endarterectomy (CEA). DESIGN: The study was performed prospectively in a university hospital setting. METHODS: Eighty-one consecutive patients aged 49-83 years were examined with DS and carotid angiography (CAG) before CEA. The results of the DS were judged as either confident, or CAG was assessed to be necessary preoperatively. The results from the DS and the CAG were then compared. RESULTS: DS was judged as confident in 148 of the 162 arteries examined. In none of these 148 arteries did CAG change patient management in any way, and the agreement between DS and CAG was good. In the remaining 14... (More)
OBJECTIVES: The aim of this prospective study was to contribute to the evaluation of the reliability of Duplex sonography (DS) before carotid endarterectomy (CEA). DESIGN: The study was performed prospectively in a university hospital setting. METHODS: Eighty-one consecutive patients aged 49-83 years were examined with DS and carotid angiography (CAG) before CEA. The results of the DS were judged as either confident, or CAG was assessed to be necessary preoperatively. The results from the DS and the CAG were then compared. RESULTS: DS was judged as confident in 148 of the 162 arteries examined. In none of these 148 arteries did CAG change patient management in any way, and the agreement between DS and CAG was good. In the remaining 14 arteries CAG was judged necessary, in 11 arteries because DS assessed the internal carotid artery (ICA) as occluded, which was confirmed by CAG in 10 arteries. In three arteries the reason was poor quality of the DS, however these three arteries were correctly assessed as severely diseased. CONCLUSIONS: This study confirms that DS alone is sufficient in the preoperative evaluation before CEA, provided that CAG is performed whenever DS shows occlusion of the ICA, or when the quality of the DS is poor. (Less)
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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Carotid artery, Duplex sonography, Carotid angiography, Carotid artery stenosis, Doppler
in
European Journal of Vascular and Endovascular Surgery
volume
12
issue
3
pages
331 - 336
publisher
Elsevier
external identifiers
  • pmid:8896476
  • scopus:0029957459
ISSN
1532-2165
DOI
10.1016/S1078-5884(96)80252-8
language
English
LU publication?
yes
additional info
The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Emergency medicine/Medicine/Surgery (013240200), Medical Radiology Unit (013241410), Unit for Clinical Vascular Disease Research (013242410)
id
4bc1f4aa-786e-4a24-9b41-f7fbdea5a3a6 (old id 1110556)
date added to LUP
2016-04-01 17:00:28
date last changed
2020-01-12 19:57:10
@article{4bc1f4aa-786e-4a24-9b41-f7fbdea5a3a6,
  abstract     = {OBJECTIVES: The aim of this prospective study was to contribute to the evaluation of the reliability of Duplex sonography (DS) before carotid endarterectomy (CEA). DESIGN: The study was performed prospectively in a university hospital setting. METHODS: Eighty-one consecutive patients aged 49-83 years were examined with DS and carotid angiography (CAG) before CEA. The results of the DS were judged as either confident, or CAG was assessed to be necessary preoperatively. The results from the DS and the CAG were then compared. RESULTS: DS was judged as confident in 148 of the 162 arteries examined. In none of these 148 arteries did CAG change patient management in any way, and the agreement between DS and CAG was good. In the remaining 14 arteries CAG was judged necessary, in 11 arteries because DS assessed the internal carotid artery (ICA) as occluded, which was confirmed by CAG in 10 arteries. In three arteries the reason was poor quality of the DS, however these three arteries were correctly assessed as severely diseased. CONCLUSIONS: This study confirms that DS alone is sufficient in the preoperative evaluation before CEA, provided that CAG is performed whenever DS shows occlusion of the ICA, or when the quality of the DS is poor.},
  author       = {Hansen, F and Bergqvist, D and Lindblad, Bengt and Lindh, Mats and Mätzsch, Thomas and Lanne, T},
  issn         = {1532-2165},
  language     = {eng},
  number       = {3},
  pages        = {331--336},
  publisher    = {Elsevier},
  series       = {European Journal of Vascular and Endovascular Surgery},
  title        = {Accuracy of duplex sonography before carotid endarterectomy--a comparison with angiography},
  url          = {http://dx.doi.org/10.1016/S1078-5884(96)80252-8},
  doi          = {10.1016/S1078-5884(96)80252-8},
  volume       = {12},
  year         = {1996},
}