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Rekommendationer från Svenska kvalitetskommittén för karotiskirurgi. Ultraljud bra preoperativ metod för gradering av karotisstenos

Jogestrand, Tomas; von Arbin, Magnus; Bergqvist, David; Lilja, Anders; Lindqvist, Melker; Mätzsch, Thomas LU ; Norrving, Bo LU ; Nowak, Jacek; Troeng, Thomas and Wahlgren, Nils Gunnar (2003) In Läkartidningen 100(30-31). p.2443-2445
Abstract
The estimated degree of carotid stenosis is decisive for the selection of patients who would benefit from surgical treatment. Carotid thrombendarterectomy is recommended in patients with symptomatic > or = 80 procent internal carotid artery stenosis (ECST method). Many vascular centers now often rely entirely on duplex ultrasonography to select the patients for carotid surgery. The results of a recently published Swedish multicenter study (Jogestrand et al., Eur J Vasc Endovasc Surg 2002; 23:510-8) demonstrate that certain technical aspects of the ultrasound examination are of importance for the estimation of the degree of stenosis. Based on these results, the Swedish Quality Board for Carotid Surgery recommends the use of Doppler angle... (More)
The estimated degree of carotid stenosis is decisive for the selection of patients who would benefit from surgical treatment. Carotid thrombendarterectomy is recommended in patients with symptomatic > or = 80 procent internal carotid artery stenosis (ECST method). Many vascular centers now often rely entirely on duplex ultrasonography to select the patients for carotid surgery. The results of a recently published Swedish multicenter study (Jogestrand et al., Eur J Vasc Endovasc Surg 2002; 23:510-8) demonstrate that certain technical aspects of the ultrasound examination are of importance for the estimation of the degree of stenosis. Based on these results, the Swedish Quality Board for Carotid Surgery recommends the use of Doppler angle range specific cut off points for the peak systolic velocity in the internal carotid artery for identification of high-grade internal carotid artery stenosis: These cut off points are > or = 2.1 m/s for insonation angles of 0-49 degrees and > or = 3.2 m/s for angles 50-60 degrees. The angle of insonation should be kept as small as possible and should always be stated in the investigators report. (Less)
Please use this url to cite or link to this publication:
author
alternative title
[Recommendations by the Swedish Quality Board for Carotid Surgery. Ultrasound good preoperative method for evaluating degree of carotid stenosis]
publishing date
type
Contribution to journal
publication status
published
subject
in
Läkartidningen
volume
100
issue
30-31
pages
2443 - 2445
publisher
Swedish Medical Association
external identifiers
  • pmid:12914140
  • scopus:0042387988
ISSN
0023-7205
language
Swedish
LU publication?
no
id
a99a89a1-9357-4731-8af5-b087433a94f4 (old id 1127193)
alternative location
http://ltarkiv.lakartidningen.se/artNo26975
date added to LUP
2008-06-10 09:17:33
date last changed
2018-01-07 09:20:50
@article{a99a89a1-9357-4731-8af5-b087433a94f4,
  abstract     = {The estimated degree of carotid stenosis is decisive for the selection of patients who would benefit from surgical treatment. Carotid thrombendarterectomy is recommended in patients with symptomatic > or = 80 procent internal carotid artery stenosis (ECST method). Many vascular centers now often rely entirely on duplex ultrasonography to select the patients for carotid surgery. The results of a recently published Swedish multicenter study (Jogestrand et al., Eur J Vasc Endovasc Surg 2002; 23:510-8) demonstrate that certain technical aspects of the ultrasound examination are of importance for the estimation of the degree of stenosis. Based on these results, the Swedish Quality Board for Carotid Surgery recommends the use of Doppler angle range specific cut off points for the peak systolic velocity in the internal carotid artery for identification of high-grade internal carotid artery stenosis: These cut off points are > or = 2.1 m/s for insonation angles of 0-49 degrees and > or = 3.2 m/s for angles 50-60 degrees. The angle of insonation should be kept as small as possible and should always be stated in the investigators report.},
  author       = {Jogestrand, Tomas and von Arbin, Magnus and Bergqvist, David and Lilja, Anders and Lindqvist, Melker and Mätzsch, Thomas and Norrving, Bo and Nowak, Jacek and Troeng, Thomas and Wahlgren, Nils Gunnar},
  issn         = {0023-7205},
  language     = {swe},
  number       = {30-31},
  pages        = {2443--2445},
  publisher    = {Swedish Medical Association},
  series       = {Läkartidningen},
  title        = {Rekommendationer från Svenska kvalitetskommittén för karotiskirurgi. Ultraljud bra preoperativ metod för gradering av karotisstenos},
  volume       = {100},
  year         = {2003},
}