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Title: The clinical value of duplex surveillance following internal carotid artery reconstruction
Authors: Lacroix, Hendrik ×
Nevelsteen, André
Beyens, G
Verhaege, R
Vermylen, Jozef
Suy, R #
Issue Date: May-1998
Series Title: International angiology : a journal of the International Union of Angiology vol:16 issue:4 pages:213-5
Abstract: BACKGROUND: The purpose of this retrospective analysis was to evaluate the benefit of a yearly duplex ultrasonography of both the reconstructed and the contralateral internal carotid artery (ICA). METHODS: From 1985 to 1994, 1210 unilateral, primary ICA reconstructions were performed. Although these patients received yearly invitations, duplex follow-up was not available in 114 patients (9%). RESULTS: At 5 years a stenosis of 50% or more was found in 9% and at 10 years in 14% of patients. During the follow-up period 20 patients developed a stenosis of 80-99%. Ten patients had a redo-procedure. The others remained asymptomatic, even though one patient developed an occlusion. A stroke occurred in 96 patients. 58 of these had no significant stenoses. 57% of all patients had no significant contralateral lesion at the time of the first procedure. In only 4% of these a contralateral CAE was performed during the follow-up. CONCLUSIONS: In view of the above data, we would conclude that the clinical benefit of duplex surveillance is doubtful.
ISSN: 0392-9590
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Vascular Surgery
Molecular and Vascular Biology
Faculty of Medicine - miscellaneous
× corresponding author
# (joint) last author

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