Rekommendationer från Svenska kvalitetskommittén för karotiskirurgi. Ultraljud bra preoperativ metod för gradering av karotisstenos
(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:
https://lup.lub.lu.se/record/1127193
- author
- 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
- alternative title
- [Recommendations by the Swedish Quality Board for Carotid Surgery. Ultrasound good preoperative method for evaluating degree of carotid stenosis]
- publishing date
- 2003
- 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
- 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), Neurology, Lund (013027000)
- id
- a99a89a1-9357-4731-8af5-b087433a94f4 (old id 1127193)
- alternative location
- http://ltarkiv.lakartidningen.se/artNo26975
- date added to LUP
- 2016-04-01 16:31:44
- date last changed
- 2022-01-28 20:23:07
@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}},
url = {{http://ltarkiv.lakartidningen.se/artNo26975}},
volume = {{100}},
year = {{2003}},
}