Closing the loop: A 21-year audit of strategies for preventing stroke and death following carotid endarterectomy

European Journal of Vascular and Endovascular Surgery

Volumn 46, Issue 2, 2013, Pages 161-170

  Naylor, A R ^a   Sayers, R D ^a   McCarthy, M J ^a   Bown, M J ^a   Nasim, A ^a   Dennis, M J ^a   London, N J M ^a   Bell, P R F ^a  

^a LEICESTER ROYAL INFIRMARY   (United Kingdom)

Author keywords

Carotid endarterectomy; Monitoring; Peri operative stroke; Quality control

Indexed keywords

ACETYLSALICYLIC ACID; BISOPROLOL; CLOPIDOGREL; HYDRALAZINE; LABETALOL; NIFEDIPINE; RAMIPRIL;

ANGIOSCOPY; ANTICOAGULANT THERAPY; ANTIHYPERTENSIVE THERAPY; BRAIN HEMORRHAGE; CARDIOVASCULAR MORTALITY; CARDIOVASCULAR RISK; CAROTID ENDARTERECTOMY; CAUSE OF DEATH; CEREBROVASCULAR ACCIDENT; HUMAN; HYPERTENSION; OCCLUSIVE CEREBROVASCULAR DISEASE; OUTCOME ASSESSMENT; PATHOPHYSIOLOGY; PRIORITY JOURNAL; REVIEW; TRANSCRANIAL DOPPLER;

CAROTID ENDARTERECTOMY; MONITORING; PERI-OPERATIVE STROKE; QUALITY CONTROL;

ANGIOSCOPY; ASPIRIN; CAROTID ARTERY DISEASES; CLINICAL PROTOCOLS; DRUG THERAPY, COMBINATION; ENDARTERECTOMY, CAROTID; HUMANS; HYPERTENSION; INTRACRANIAL EMBOLISM; INTRACRANIAL HEMORRHAGES; INTRAOPERATIVE CARE; MEDICAL AUDIT; PLATELET AGGREGATION INHIBITORS; POSTOPERATIVE CARE; PRACTICE GUIDELINES AS TOPIC; PREDICTIVE VALUE OF TESTS; QUALITY OF HEALTH CARE; RISK FACTORS; STROKE; TICLOPIDINE; TIME FACTORS; TREATMENT OUTCOME; ULTRASONOGRAPHY, DOPPLER, TRANSCRANIAL;

EID: 84880920357     PISSN: 10785884     EISSN: 15322165     Source Type: Journal    
DOI: 10.1016/j.ejvs.2013.05.005     Document Type: Review

References (42)

1. European Carotid Surgery Trialists' Collaborative Group Randomised trial of endarterectomy for recently symptomatic carotid stenosis: final results of the MRC European Carotid Surgery Trial (ECST) Lancet 351 1998 1379 1387
2. K. Rerkasem, and P.M. Rothwell Patch angioplasty versus primary closure for carotid endarterectomy Cochrane Database Syst Rev 4 2009;Oct 7 CD000160
3. D.A. Payne, C.I. Jones, P.D. Hayes, M.M. Thompson, N.J.M. London, and P.R.F. Bell Beneficial effects of clopidogrel combined with aspirin in reducing cerebral emboli in patients undergoing carotid endarterectomy Circulation 109 2004 1476 1481 (Pubitemid 38420174)
4. M.E. Gaunt, P.J. Martin, J.L. Smith, T. Rimmer, G. Cherryman, and D.A. Ratliff Clinical relevance of intra-operative embolization detected by transcranial Doppler ultrasonography during carotid endarterectomy: a prospective study of 100 patients Br J Surg 81 1994 1435 1439 (Pubitemid 24305981)
5. Heart Protection Study Collaborative Group MRC/BHF Heart Protection Study of cholesterol lowering with simvastatin in 20536 high-risk individuals: a randomised placebo controlled trial Lancet 360 2002 7 22
6. C. Brown, and A.R. Naylor Improving the provision of carotid endarterectomy in line with UK Government targets will require more than motivated surgeons! Ann R Coll Surg Engl 91 2009 326 329
7. M.K. Salem, R.D. Sayers, M.J. Bown, D.J. Eveson, T.G. Robinson, and A.R. Naylor Rapid access carotid endarterectomy can be performed without a significant increase in the procedural risk Eur J Vasc Endovasc Surg 41 2011 222 228
8. G. McMahon, S. Webster, P.D. Hayes, C. Jones, A.H. Goodall, and A.R. Naylor Low molecular weight heparin significantly reduces embolisation after carotid endarterectomy: a randomised controlled trial Eur J Vasc Endovasc Surg 37 2009 633 639
9. J.H. Halsey, H.A. McDowell, S. Gelmon, and R.B. Morawetz Blood flow velocity in the middle cerebral artery and regional cerebral blood flow during carotid endarterectomy Stroke 20 1989 53 58 (Pubitemid 19040213)
10. M.E. Gaunt, J.L. Smith, P.J. Martin, D.A. Ratliff, P.R.F. Bell, and A.R. Naylor A comparison of quality control methods applied to carotid endarterectomy Eur J Vasc Endovasc Surg 11 1996 4 11 (Pubitemid 26120444)
11. N. Lennard, J.L. Smith, R. Abbott, D.E. Evans, N.J.M. London, and P.R.F. Bell Prevention of post-operative thrombotic stroke after carotid endarterectomy: the role of transcranial Doppler ultrasound J Vasc Surg 26 1997 579 584 (Pubitemid 27459602)
12. N. Lennard, J.L. Smith, P. Hayes, R.J. Abbott, N.J.M. London, and P.R.F. Bell Transcranial Doppler directed dextran therapy in the prevention of post-operative carotid artery thrombosis: 3hrs monitoring is as effective as 6 hrs Eur J Vasc Endovasc Surg 17 1999 301 305 (Pubitemid 29141373)
13. R.Y. Sharpe, J. Walker, M.J. Bown, M.B. Naylor, D.H. Evans, and A.R. Naylor Identifying the high risk patient with clinically relevant embolisation after carotid endarterectomy Eur J Vasc Endovasc Surg 37 2009 1 7
14. R.Y. Sharpe, S.J. Dennis, A. Nasim, M. McCarthy, R.D. Sayers, and N.J. London Dual antiplatelet therapy prior to carotid endarterectomy reduces post-operative embolisation: post-operative transcranial Doppler monitoring is now unnecessary Eur J Vasc Endovasc Surg 40 2010 162 167
15. C.J. Vaughan, and N. Delanty Hypertensive emergencies Lancet 356 2000 411 417 (Pubitemid 30487503)
16. A.R. Naylor, M.V. Merrick, and C.V. Ruckley Risk factors for intra-operative neurological deficit during carotid endarterectomy Eur J Vasc Surg 5 1991 33 39
17. N. Lennard, J.L. Smith, M.E. Gaunt, R. Abbott, N.J.M. London, and P.R.F. Bell A policy of quality control assessment reduces the risk of intra-operative stroke during carotid endarterectomy Eur J Vasc Endovasc Surg 17 1999 234 240 (Pubitemid 29108018)
18. R. Sharpe, R.D. Sayers, M. McCarthy, M. Dennis, N.J.M. London, and A. Nasim The war against error: a 15 year experience of completion angioscopy following carotid endarterectomy Eur J Vasc Endovasc Surg 43 2012 139 145
19. A.R. Naylor, P.D. Hayes, H. Allroggen, N. Lennard, M.E. Gaunt, and M.M. Thompson Reducing the risk of carotid surgery: a seven year audit of the role of monitoring and quality control assessment J Vasc Surg 32 2000 750 759
20. A. Bass, W.C. Krupski, P.A. Schneider, S.M. Otis, R.B. Dilley, and E.F. Bernstein Intra-operative transcranial Doppler: limitations of the method J Vasc Surg 10 1989 549 553 (Pubitemid 19280108)
21. R. Ghali, E.G. Palazzo, D.I. Rodriguez, M. Zammit, D.L. Loudenback, and R.P. DeMuth Transcranial Doppler intra-operative monitoring during carotid endarterectomy: experience with regional or general anaesthesia, with and without shunting Ann Vasc Surg 11 1997 9 13 (Pubitemid 27164366)
22. M.E. Gaunt, J. Smith, P.J. Martin, D.A. Ratliff, P.R.F. Bell, and A.R. Naylor On-table diagnosis of incipient carotid artery thrombosis during carotid endarterectomy using transcranial Doppler sonography J Vasc Surg 20 1994 104 107 (Pubitemid 24238064)
23. M.E. Gaunt, N.J.M. London, J. Smith, P.J. Martin, P.R.F. Bell, and A.R. Naylor Early diagnosis of post-operative carotid occlusion using transcranial Doppler ultrasound J Vasc Surg 20 1994 1004 1005
24. C.I. Jones, D.A. Payne, P.D. Hayes, A.R. Naylor, M.M. Thompson, and A.H. Goodall The antithrombotic effect of dextran-40 in man is due to enhanced fibrinolysis in vivo J Vasc Surg 48 2008 715 722
25. C.R. Levi, H.M. O'Malley, G. Fell, A.K. Roberts, M.C. Hoare, and J.P. Royle Transcranial Doppler detected cerebral embolism following carotid endarterectomy: high microembolic signal loads predict post-operative cerebral ischaemia Brain 120 1997 621 629 (Pubitemid 27174097)
26. M.P. Spencer Transcranial Doppler monitoring and causes of stroke from carotid endarterectomy Stroke 28 1997 685 691 (Pubitemid 27161446)
27. N.L. Cantelmo, V.L. Babikian, R.N. Samaraweera, J.K. Gordon, V.E. Pochay, and M.R. Winter Cerebral microembolism and ischaemia changes associated with carotid endarterectomy J Vasc Surg 27 1998 1024 1030
28. D.M. Laman, G.H. Wieneke, H. van Duijn, and A.C. van Huffelen High embolic rate early after carotid endarterectomy is associated with early cerebrovascular complications, especially in women J Vasc Surg 36 2002 278 284 (Pubitemid 35014959)
29. J. Horn, A.R. Naylor, M. Laman, B. Chambers, J. Stork, and T.V. Schroeder Identification of patients at risk for ischaemic complications after carotid endarterectomy with TCD monitoring Eur J Vasc Endovasc Surg 30 2005 270 274 (Pubitemid 41086298)
30. P.D. Hayes, H. Box, S. Tull, M.E. Gaunt, P.R.F. Bell, and A.H. Goodall The patients thrombo-embolic response following carotid endarterectomy is related to enhanced platelet sensitivity to ADP J Vasc Surg 38 2003 1226 1231
31. J. Newman, M. Ali, R. Sharpe, M.J. Bown, R.D. Sayers, and A.R. Naylor Changes in middle cerebral artery velocity after carotid endarterectomy do not identify patients at high-risk of suffering intracranial haemorrhage or stroke due to the hyperperfusion syndrome Eur J Vasc Endovasc Surg 45 2013 562 571
32. North American Symptomatic Carotid Endarterectomy Trial Collaborators Beneficial effect of carotid endarterectomy in symptomatic patients with high grade stenosis N Engl J Med 325 1991 445 453
33. J.M. Krul, J. van Gijn, R.G. Ackerstaff, B.C. Eikelboom, T. Theodorides, and F.E. Vermeulen Site and pathogenesis of infarcts associated with carotid endarterectomy Stroke 20 1989 324 328 (Pubitemid 19080086)
34. GALA Trial Collaborative Group General anaesthesia versus local anesthesia for carotid surgery (GALA): a multicentre randomised controlled trial Lancet 372 2008 2132 2142
35. C.B. Rockman, and E.A. Halm Intraoperative imaging: does it really improve perioperative outcomes of carotid endarterectomy? Semin Vasc Surg 20 2007 236 243 (Pubitemid 350235865)
36. T.S. Riles, A.M. Imparato, G.R. Jacobowitz, P.J. Lamparello, G. Giangola, and M.A. Adelman The cause of peri-operative stroke after carotid endarterectomy J Vasc Surg 19 1994 206 214
37. J. Molloy, J.F. Martin, P.A. Baskerville, S.C. Fraser, and H.S. Markus S-Nitrosoglutathione reduces the rate of embolisation in humans Circulation 98 1998 1372 1375 (Pubitemid 28462796)
38. G. Barkhoudarian, M.J. Ali, J. Deveikis, and B.G. Thompson Intravenously administered abciximab in the management of early cerebral ischaemia after carotid endarterectomy: case report Neurosurgery 55 2004 709 (Pubitemid 39186877)
39. D. Van Dellen, C.A. Tivas, K. Jarvi, C. Marshall, D.J. Higman, and C.H. Imray Transcranial Doppler ultrasonography directed intravenous glycoprotein IIb/IIIa receptor antagonist therapy to control transient cerebral microemboli before and after carotid endarterectomy Br J Surg 95 2008 709 713
40. P.D. Hayes, F. Patel, P.R.F. Bell, and A.R. Naylor Patient's thromboembolic potential between bilateral carotid endarterectomies remains stable over time Eur J Vasc Endovasc Surg 22 2001 496 498 (Pubitemid 34030589)
41. P.D. Hayes, H. Allroggen, S. Steel, M.M. Thompson, N.J.M. London, and P.R.F. Bell A randomised trial of vein versus dacron patching during carotid endarterectomy: influence of patch type on post-operative embolisation J Vasc Surg 33 2001 994 1000 (Pubitemid 33586342)
42. J.R. Stratton, R.E. Zierler, and A. Kazmers Platelet deposition at carotid endarterectomy sites in humans Stroke 18 1987 722 727 (Pubitemid 17093862)