15 Year Experience of Carotid Endarterectomy at the Royal Brisbane and Women's Hospital: Outcomes and Changing Trends in Management

Organ, Nicole; Walker, Philip J.; Jenkins, Jason; Foster, W.

doi:10.1016/j.ejvs.2007.09.013

Cited by 4 publications

(2 citation statements)

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“…However, this hospital is a specialized stroke centre with a large catchment area and we believe that the results from this study may provide a representative indicator of Australian hospital practice in general. An extensive literature search revealed no other recent similar studies performed in the Australian public hospital setting, with the latest study published in 2008 . Our study provides a contemporary description of the current practice of CEA in Australia.…”

Section: Discussionmentioning

confidence: 70%

Carotid endarterectomy: the change in practice over 11 years in a stroke centre

Tse

Kilkenny

Bladin

et al. 2017

ANZ Journal of Surgery

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Section: Discussionmentioning

confidence: 70%

Carotid endarterectomy: the change in practice over 11 years in a stroke centre

Tse

Kilkenny

Bladin

et al. 2017

ANZ Journal of Surgery

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“…Superiority of CEA in the prevention of stroke in cases with carotid stenosis has been established [ 8 ] . Selection of patients for CEA is a very important issue.…”

Section: Discussionmentioning

confidence: 99%

Impact of Surgeon Experience During Carotid Endarterectomy Operation and Effects on Perioperative Outcomes

Yüksel¹,

Özdemir²,

Hüseyın³

et al. 2016

Brazilian Journal of Cardiovascular Surgery

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ObjectiveWe evaluated the effect of surgeon experience on complication and mortality rates of carotid endarterectomy operation.MethodsFifty-nine consecutive patients who underwent carotid endarterectomy between January 2013 and February 2016 were divided into two groups. Patients who had been operated by surgeons performing carotid endarterectomy for more than 10 years were allocated to group 1 (experienced surgeons; n=34). Group 2 (younger surgeons; n=25) consisted of patients operated by surgeons independently performing carotid endarterectomy for less than 2 years. Both groups were compared in respect of operative results and postoperative complications.ResultsNo intergroup difference was found for laterality of the lesion or concomitant coronary artery disease. In group 1, signs of local nerve damage (n=2; 5.9%) were detected, whereas in group 2 no evidence of local nerve damage was observed. Surgeons in group 1 used local and general anesthesia in 3 (8.8%) and 31 (91.2%) patients, respectively, while surgeons in group 2 preferred to use local and general anesthesia in 1 (4%) and 24 (96%) patients, respectively. Postoperative stroke was observed in group 1 (n=2; 5.9%) and group 2 (n=2; 5.8%).ConclusionYounger surgeons perform carotid endarterectomy with similar techniques and have similar results compared to experienced surgeons. Younger surgeons rarely prefer using shunt during carotid endarterectomy. The experience and the skills gained by these surgeons during their training, under the supervision of experienced surgeons, will enable them to perform successful carotid endarterectomy operations independently after completion of their training period.

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Is it Necessary to Use an Intraluminal Shunt in Symptomatic Patients with Contralateral Carotid Artery Stenosis ?

Yüksel

Canbaz

Ege

et al. 2014

Acta Chirurgica Belgica

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15 Year Experience of Carotid Endarterectomy at the Royal Brisbane and Women's Hospital: Outcomes and Changing Trends in Management

Abstract: Performance of CEA at the RBWH is in keeping with published literature standards. There has been an evolution to surgery performed on the basis of duplex ultrasound alone and an almost universal use of patching.

Cited by 4 publications

References 39 publications

Carotid endarterectomy: the change in practice over 11 years in a stroke centre

Carotid endarterectomy: the change in practice over 11 years in a stroke centre

Impact of Surgeon Experience During Carotid Endarterectomy Operation and Effects on Perioperative Outcomes

Is it Necessary to Use an Intraluminal Shunt in Symptomatic Patients with Contralateral Carotid Artery Stenosis ?

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