Duplex Ultrasound – An Invaluable Tool in Pregnancy

Abstract

Hospital, by the senior author were included. Data was collected from statistics department, theatre database, discharge registry, ICU and HDU register and patient clinical notes. Study end-points included operative time, shunt use, perioperative stroke, 30 day mortality, restenosis and re intervention. Results: 114 cCEA procedures were undertaken from July 2008 to December 2011, while 63 eCEA performed during Jan 2012 to July 2014. Results are shown in Table 1. Intraarterial shunts were used in 19 % of cCEA and 1.6% of eCEA cases. Patients were followed postoperatively by Duplex imaging. Death and stroke rate in both groups was 0 %. Operative time for eCEA was significantly less that the cCEA. There were 5 restenosis in cCEA and only one in eCEA (range 20 to 70%). Conclusion: eCEA is safe and effective technique for carotid endarterectomy. It significantly reduces the operative time with low re-stenosis rate.