Postendarterectomy carotid occlusion.
Publication/Presentation Date
12-1-1981
Abstract
In a prospective study of 300 carotid endarterectomies, ocular pneumoplethysmography (OPG-Gee) was performed in the recovery room after all procedures. Positive test findings, indicative of occlusion of the repaired vessels, were encountered after 16 (5%) of these procedures, and all 16 patients were completely asymptomatic. Serial test results, without angiographic confirmation, have remained positive in nine. Angiography confirmed the positive test results in three. Immediate reoperation, without angiography, confirmed the positive test findings in four, and normal flow was restored in all four cases. Success of carotid endarterectomy should not be measured by absence of symptoms. Objective documentation of persistent patency is essential. Present policy dictates that if recovery room test results are positive, the patient be returned to the operating room as soon as possible, with no delay for angiography.
Volume
90
Issue
6
First Page
1093
Last Page
1098
ISSN
0039-6060
Published In/Presented At
Ortega, G., Gee, W., Kaupp, H. A., & McDonald, K. M. (1981). Postendarterectomy carotid occlusion. Surgery, 90(6), 1093–1098.
Disciplines
Medicine and Health Sciences
PubMedID
7313944
Department(s)
Department of Surgery
Document Type
Article