Medical cost savings through stroke prevention from 100 consecutive new carotid duplex scans

Vascular

Volumn 4, Issue 6, 1996, Pages 753-758

  Lavenson, G S ^a   Sharma, D ^a  

^a Visalia Community Hospital   (United States)

Author keywords

carotid scans; cost savings; stroke prevention

Indexed keywords

ARTICLE; CAROTID ARTERY; DISEASE MANAGEMENT; ECONOMICS; HEALTH CARE COST; HUMAN; PRIORITY JOURNAL; RISK FACTOR; STROKE; TREATMENT OUTCOME; ULTRASOUND;

CAROTID ARTERIES; CAROTID STENOSIS; CEREBROVASCULAR DISORDERS; COST SAVINGS; COST-BENEFIT ANALYSIS; ENDARTERECTOMY, CAROTID; HUMANS; RISK; ULTRASONOGRAPHY, DOPPLER, DUPLEX;

EID: 0030482933     PISSN: 17085381     EISSN: None     Source Type: Journal    
DOI: 10.1177/096721099600400613     Document Type: Article

References (36)

1. North American Symptomatic Carotid Endarterectomy Trial Collaborators. Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis. N Engl J Med 1991; 325: 445–453.
2. Executive Committee for the Asymptomatic Carotid Arteriosclerotic Study. Endarterectomy for asymptomatic carotid artery stenosis. JAMA 1995; 273: 1421–1428.
3. Lavenson GS, Sharma D. Cost savings of carotid endarterectomy: Value of one vascular surgeon in one year. Perspect Vasc Surg 1994; 7: 1–20.
4. Moore WS, Mohr JP, Najafi H, Robertson JT, Stoney RJ, Toole JF. Carotid endarterectomy: Practice guidelines. Report of the Ad Hoc Committee to the Joint Council of the Society for Vascular Surgery and the North American Chapter of the International Society for Cardiovascular Surgery. J Vasc Surg 1992; 15: 460–479.
5. Crew JR, Dean M, Johnson JM, Knighton D, Bashour TT, Ellertson D, Hanna ES. Carotid surgery without angiography. Am J Surg 1984; 148: 217–220.
6. Goodson SF, Flanigan DP, Bishara RA, Schuler JJ, Kikta MJ, Meyer JP. Can carotid duplex scanning supplant arteriography in patients with focal carotid territory symptoms? J Vasc Surg 1987; 5: 551–557.
7. Moore WS, Ziomek S, Quinones-Baldrich WJ, et al Can clinical evaluation and non-invasive testing substitute for arteriography in the evaluation of carotid artery disease? Ann Surg 1988; 208: 91–94.
8. Su CC, Soharwardi QA, Su WT. Accuracy of B-mode ultrasound imaging versus arteriography in diagnosing carotid artery disease. J Vasc Tech 1989; 8: 42–45.
9. Hill JC, Carbonneau K, Baliga PK, Akers DL, Bell WH, Kerstein MD. Safe extracranial vascular evaluation and surgery without preoperative arteriography. Ann Vasc Surg 1990; 4: 34–38.
10. Gelabert HA, Moore WS. Carotid endarterectomy without angiography. Surg Clin North Am 1990; 70: 213–223.
11. Wagner WH, Treiman RL, Crossman DV, et al The diminishing role of diagnostic arteriography in carotid artery disease: Duplex scanning as definitive preoperative study. Ann Vasc Surg 1991; 5: 105–110.
12. Gertler JP, Cambria RP, Kistler JP, et al Carotid surgery without angiography: Noninvasive selection of patients. Ann Vasc Surg 1991; 5: 253–256.
13. Dawson DL, Zierler RE, Kohler TR. Role of arteriography in the preoperative evaluation of carotid artery disease. Am J Surg 1991; 161: 619–624.
14. Alexandrov AV, Bladin CF, Maggisano R, Norris JW. Measuring carotid stenosis-time for reappraisal. Stroke 1993; 24: 1292–1296.
15. McKittrick JE, Cisek PL, Pojunas KW, Blum GM, Ortgiesen P, Lim RA. Are both color flow duplex scanning and cerebral arteriography required prior to CEA? Ann Vasc Surg 1993; 7: 311–316.
16. Imparato AM, Ramirez A, Riles T, Mintzer R. Cerebral protection in carotid surgery. Arch Surg 1982; 117: 1073–1078.
17. Hafner CD. Minimizing the risks of carotid endarterectomy. J Vasc Surg 1984; 1: 392–397.
18. Connolly JE. Carotid endarterectomy in the awake patient. Am J Surg 1985; 150: 159–165.
19. Corson JD, Chang BB, Shah DM, Leather RP, DeLeo BM, Karmody AM. The influence of anesthetic choice on carotid endarterectomy outcome. Arch Surg 1987; 122: 807–812.
20. Pruitt JC. 1009 consecutive carotid endarterectomies using local anesthesia, EEG, and selective shunting with the Pruitt—Inahara carotid shunt. Contemp Surg 1983; 23: 49–58.
21. Hobson RW, Weiss DG, Fields WS, Goldstone J, Moore WS, Towne JB, Wright CB and Veterans Affairs Cooperative Study Group. Efficacy of carotid endarterectomy for asymptomatic carotid stenosis. N Engl J Med 1993; 328: 221–227.
22. Kojima AS, Omura T, Wakamatsu W, Kishi M, Yamazaki T, Iida M, Komachi Y. Prognosis of disability and stroke patients after 5 years in Akita, Japan. Stroke 1990; 21: 72–77.
23. Coull BM, Brockschmidt JK, Howard G, Becker C, Yatsu FM, Toole JF, McLeroy KR, Feibe J. Community Hospital Based Stroke Program in North Carolina, Oregon, and New York. IV. Stroke diagnosis and its relation to demographics, risk factors, and clinical status after stroke. Stroke 1990; 21: 867–873.
24. Scharfenberger JA III, Scharfenberger KC. Financing of health care for elderly stroke patients. Physical Medicine and Rehabilitation: State of the Art Reviews. Philadelphia, Hanley Belf, Inc. 1989; 3: 653–658.
25. McDowell FH, Caplan LR, eds. Cerebrovascular Survey Report, 1985. For the National Institute of Neurological and Communicative Disorders and Stroke. National Institutes of Health, Public Health Service, Bethesda, Maryland.
26. Mortality in developed countries (editorial). Morbidity and Mortality Weekly Report 1990; 39: 205–209.
27. The Los Angeles Times, The San Francisco Chronicle and The Fresno Bee, October 1, 1994.
28. Fields WS, Maslenikov V, Meyer JS, Hass WK, Remington RD, MacDonald M: Joint study of extracranial arterial occlusion. Progress report of prognosis following surgery or non-surgical treatment for transient ischemic attacks and cervical carotid lesions. JAMA 1970; 211: 1993–2003.
29. Mohr JP, Caplan LR, Melski JW, et al The Harvard Cooperative Stroke Registry: A prospective registry. Neurology 1978; 28: 754–762.
30. Wolf PA. An overview of the epidemiology of stroke. Stroke 1990; 21 (Suppl. 9): II4–6.
31. Pan XM, Saloner D, Reilly LM, et al Assessment of carotid stenosis by ultrasound, angiography and magnetic resonance angiography: correlation with ex vivo measurement of plaque stenosis. Presented at the Forty-eighth Annual Meeting of the Society for Vascular Surgery. Seattle, Washington: June 6–8, 1994.
32. Thompson JE, Patman RD, Talkington CM. Asymptomatic carotid bruit: Long-term outcome of patients having carotid endarterectomy compared with unoperated controls. Ann Surg 1978; 188: 308–316.
33. Moore WS, Boren C, Malone JM, et al Asymptomatic carotid stenosis: Immediate and long-term results after prophylactic endarterectomy. Am J Surg 1979; 138: 228–233.
34. Park Y, El-Bayar H, Hye RJ, Stabile BE, Freschlag JA. Safety and long-term benefit of carotid endarterectomy in the asymptomatic patient. Ann Vasc Surg 1990; 4: 218–222.
35. Treiman RL, Cossman DV, Foran RF, Levin PM, Cohen JL. The risk of carotid endarterectomy for the asymptomatic patient: An argument for prophylactic operation. Ann Vasc Surg 1990; 4: 29–33.
36. Thompson JE. Carotid endarterectomy for asymptomatic carotid stenosis: An update. J Vasc Surg 1991; 13: 669–676.