Abstract
Pulsed Doppler spectral analysis and intravenous digital subtraction angiography have been carried out in 55 patients, three months after a total of 60 carotid endarterectomies. Five patients were operated on both sides and there were no re-operations. There were no re-stenoses and only one of the 60 internal carotid arteries was occluded. Spectral spreading of of the Doppler signal at the site of the endarterectomy was found in 52% of the internal carotid arteries, whereas wall irregularities were demonstrated in 25% by intravenous digital subtraction angiography. A stenosis or occlusion was found in 11 (18%) of the 60 ipsilateral external carotid arteries.
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- Blaisdell F. W., Lim R., Jr, Hall A. D. Technical result of carotid endarterectomy. Arteriographic assessment. Am J Surg. 1967 Aug;114(2):239–246. doi: 10.1016/0002-9610(67)90378-9. [DOI] [PubMed] [Google Scholar]
- Bodily K. C., Zierler R. E., Marinelli M. R., Thiele B. L., Greene F. M., Jr, Strandness D. E., Jr Flow disturbances following carotid endarterectomy. Surg Gynecol Obstet. 1980 Jul;151(1):77–80. [PubMed] [Google Scholar]
- Cantelmo N. L., Cutler B. S., Wheeler H. B., Herrmann J. B., Cardullo P. A. Noninvasive detection of carotid stenosis following endarterectomy. Arch Surg. 1981 Aug;116(8):1005–1008. doi: 10.1001/archsurg.1981.01380200019003. [DOI] [PubMed] [Google Scholar]
- Hertzer N. R., Beven E. G., Modic M. T., O'Hara P. J., Vogt D. P., Weinstein M. A. Early patency of the carotid artery after endarterectomy: digital subtraction angiography after two hundred sixty-two operations. Surgery. 1982 Dec;92(6):1049–1057. [PubMed] [Google Scholar]
- Padayachee T. S., Lewis R. R., Yates A. K., Gosling R. G. Doppler ultrasound assessment of the internal carotid artery following carotid endarterectomy. Stroke. 1983 Nov-Dec;14(6):990–994. doi: 10.1161/01.str.14.6.990. [DOI] [PubMed] [Google Scholar]
- Rosental J. J., Gaspar M. R., Movius H. J. Intraoperative arteriography in carotid thromboendarterectomy. Arch Surg. 1973 Jun;106(6):806–808. doi: 10.1001/archsurg.1973.01350180044014. [DOI] [PubMed] [Google Scholar]
- Russell D., Lindegaard K. F., Nakstad P., Nyberg-Hansen R., Oygarden K. G. Detection of carotid occlusive disease by pulsed Doppler spectral analysis. J Neurol Neurosurg Psychiatry. 1984 Dec;47(12):1307–1313. doi: 10.1136/jnnp.47.12.1307. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Schutz H., Fleming J. F., Awerbuck B. Arteriographic assessment of carotid endarterectomy. Ann Surg. 1970 Apr;171(4):509–521. doi: 10.1097/00000658-197004000-00006. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wiberg J., Nornes H. Effects of carotid endarterectomy on blood flow in the internal carotid artery. Acta Neurochir (Wien) 1983;68(3-4):217–226. doi: 10.1007/BF01401180. [DOI] [PubMed] [Google Scholar]
- Wood E. H., Correll J. W., Bochenstein F. K., Reilly A., Safer J. N. Neuroradiologic evaluation of results of surgical treatment of extracranial atherosclerotic disease. Acta Radiol Diagn (Stockh) 1969;9:537–548. [PubMed] [Google Scholar]


