Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Damar Cer Derg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 1301 - 1839 E-ISSN 2149 - 1259


Turkish Journal of Vascular Surgery 1999 , Vol 8 , Issue 3
IS PREOPERATIVE ANGIOGRAPHY NECESSARY FOR DETERMINING CAROTID ENDARTERECTOMY (CEA) CANDIDATES?
Şükrü Dilege1, Arzu Poyanlı2, Mehmet Kurdoğlu1, Murat Kayabalı1
1İstanbul Üniversıtesi Istanbul Tıp Fakültesi Genel Cerrahi Anabilim Dalt, Periferik Damar Ünitesi, İstanbul
2İstanbul Üniversitesi Istanbul Tıp Fakültesi Radynloji Anabilim Dalı, İstanbul
Purpose: The purpose of this study was to investigate the effectivity of Duplex sonography in determining carotid en-Orterectomy (CEA) candidates.

Material and Methods: A total of 224 CEAs performed in 203 patients between May 1994 and December 1997 have been lncluded in this study. There were 49 (24.1%) female and 154 (75.9%) male patients with an age range of 43- '82 :mean:57.2 years). In the randomized group, 49 (21.9%) patients out of a total of 224 CEAs were operated upon with Duplex sonography findings only. Sonography and intracıperative findings have been compared in this group.

Results: No morbidity related to stroke or death has been encountered in the group operated upon with Duplex sonography findings. Radiological and operative findings were similar in 48 (98%) eases. In only one case (2%) no pIague of hemodynamic sequela was found during surgery.

Conclusıon: Duplex sonography is a safe and relatively inexpensive imaging modality which can be used as the sole dlagnostic technique in determination of CEA candidates. Keywords : Angiography, Carotid artery, Duplex, Endarterectomy, Noninvasive