Evolution of carotid surgical practice in the last decade

Hdl Handle:
http://hdl.handle.net/10147/578371
Title:
Evolution of carotid surgical practice in the last decade
Authors:
Hanrahan, L; Canning, C; Abdulrahim, O; Fitzgerald, L; O’Neill, S; Madhavan, P; Harbison, J; Colgan, MP; Martin, Z
Publisher:
Irish Medical Journal
Journal:
Irish Medical Journal
Issue Date:
Sep-2015
URI:
http://hdl.handle.net/10147/578371
Abstract:
Stroke units provide immediate care and appropriate intervention in the evolving stroke. The aims of this study were to review the practice of carotid endarterectomy (CEA) before and after the establishment of a Stroke Unit in St. James’s Hospital. Prior to the introduction of the Stroke Unit, 263 CEA’s were performed over a five-year period. 139/263 (53%) of these were for symptomatic disease. 229 were performed in the five years since. 179/229 (78%) of these were for symptomatic disease. The 30-day stroke and death rates were <2% before the introduction of the Stroke Unit, and have remained unchanged. Since the introduction of the Stroke Unit, there has been a slight decrease in the overall number of CEA’s performed with a 25% increase in the proportion of endarterectomies performed for symptomatic disease. Despite the reduction in surgery for asymptomatic disease the overall 30-day stroke and death rate remains excellent at 2/229 (2%).
Item Type:
Article
Language:
en
Keywords:
STROKE AND TIA; SURGERY

Full metadata record

DC FieldValue Language
dc.contributor.authorHanrahan, Len
dc.contributor.authorCanning, Cen
dc.contributor.authorAbdulrahim, Oen
dc.contributor.authorFitzgerald, Len
dc.contributor.authorO’Neill, Sen
dc.contributor.authorMadhavan, Pen
dc.contributor.authorHarbison, Jen
dc.contributor.authorColgan, MPen
dc.contributor.authorMartin, Zen
dc.date.accessioned2015-09-18T15:32:54Zen
dc.date.available2015-09-18T15:32:54Zen
dc.date.issued2015-09en
dc.identifier.urihttp://hdl.handle.net/10147/578371en
dc.description.abstractStroke units provide immediate care and appropriate intervention in the evolving stroke. The aims of this study were to review the practice of carotid endarterectomy (CEA) before and after the establishment of a Stroke Unit in St. James’s Hospital. Prior to the introduction of the Stroke Unit, 263 CEA’s were performed over a five-year period. 139/263 (53%) of these were for symptomatic disease. 229 were performed in the five years since. 179/229 (78%) of these were for symptomatic disease. The 30-day stroke and death rates were <2% before the introduction of the Stroke Unit, and have remained unchanged. Since the introduction of the Stroke Unit, there has been a slight decrease in the overall number of CEA’s performed with a 25% increase in the proportion of endarterectomies performed for symptomatic disease. Despite the reduction in surgery for asymptomatic disease the overall 30-day stroke and death rate remains excellent at 2/229 (2%).en
dc.language.isoenen
dc.publisherIrish Medical Journalen
dc.subjectSTROKE AND TIAen
dc.subjectSURGERYen
dc.titleEvolution of carotid surgical practice in the last decadeen
dc.typeArticleen
dc.identifier.journalIrish Medical Journalen
dc.description.fundingNo fundingen
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen
All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.