Intraoperative sonography during carotid endarterectomy: Normal appearance and spectrum of complications

Stefanie Weinstein, Marc C. Mabray, Riz Aslam, Tom Hope, Judy Yee, Christopher Owens

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Carotid endarterectomy is a commonly performed procedure for prevention of stroke related to carotid stenosis. Intraoperative sonography is used to identify potentially correctable technical defects during carotid endarterectomy. The main risk of endarterectomy is perioperative stroke, and great effort has been put into trying to reduce this risk through various surgical techniques and evaluation of the surgical bed. Postoperative carotid thrombosis, or thombo-embolization from the arterectomy site, remains a common cause of perioperative stroke and is often related to technical defects in the arterial reconstruction procedure. Re-exploration and repair of any imperfections have the potential to improve outcomes. Intraoperative imaging can identify potentially occult lesions, provide the option for correction, and thus reduce chance of stroke. Familiarity with the spectrum of intraoperative sonographic findings helps correctly identify residual intimal dissection flaps, plaque, thrombi, and stenosis, which may require immediate surgical revision. Our objective is to illustrate the spectrum of intraoperative findings and their importance.

Original languageEnglish (US)
Pages (from-to)885-894
Number of pages10
JournalJournal of Ultrasound in Medicine
Volume34
Issue number5
DOIs
StatePublished - Jan 1 2015
Externally publishedYes

Fingerprint

Carotid Endarterectomy
Ultrasonography
Stroke
Carotid Artery Thrombosis
Tunica Intima
Endarterectomy
Carotid Stenosis
Reoperation
Dissection
Pathologic Constriction
Thrombosis

Keywords

  • Carotid
  • Endarterectomy
  • Intraoperative
  • Thromboembolic
  • Vascular
  • Vascular ultrasound

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging

Cite this

Intraoperative sonography during carotid endarterectomy : Normal appearance and spectrum of complications. / Weinstein, Stefanie; Mabray, Marc C.; Aslam, Riz; Hope, Tom; Yee, Judy; Owens, Christopher.

In: Journal of Ultrasound in Medicine, Vol. 34, No. 5, 01.01.2015, p. 885-894.

Research output: Contribution to journalArticle

Weinstein, Stefanie ; Mabray, Marc C. ; Aslam, Riz ; Hope, Tom ; Yee, Judy ; Owens, Christopher. / Intraoperative sonography during carotid endarterectomy : Normal appearance and spectrum of complications. In: Journal of Ultrasound in Medicine. 2015 ; Vol. 34, No. 5. pp. 885-894.
@article{ee1f32ef5d3b42858104ea57c6727dd4,
title = "Intraoperative sonography during carotid endarterectomy: Normal appearance and spectrum of complications",
abstract = "Carotid endarterectomy is a commonly performed procedure for prevention of stroke related to carotid stenosis. Intraoperative sonography is used to identify potentially correctable technical defects during carotid endarterectomy. The main risk of endarterectomy is perioperative stroke, and great effort has been put into trying to reduce this risk through various surgical techniques and evaluation of the surgical bed. Postoperative carotid thrombosis, or thombo-embolization from the arterectomy site, remains a common cause of perioperative stroke and is often related to technical defects in the arterial reconstruction procedure. Re-exploration and repair of any imperfections have the potential to improve outcomes. Intraoperative imaging can identify potentially occult lesions, provide the option for correction, and thus reduce chance of stroke. Familiarity with the spectrum of intraoperative sonographic findings helps correctly identify residual intimal dissection flaps, plaque, thrombi, and stenosis, which may require immediate surgical revision. Our objective is to illustrate the spectrum of intraoperative findings and their importance.",
keywords = "Carotid, Endarterectomy, Intraoperative, Thromboembolic, Vascular, Vascular ultrasound",
author = "Stefanie Weinstein and Mabray, {Marc C.} and Riz Aslam and Tom Hope and Judy Yee and Christopher Owens",
year = "2015",
month = "1",
day = "1",
doi = "10.7863/ultra.34.5.885",
language = "English (US)",
volume = "34",
pages = "885--894",
journal = "Journal of Ultrasound in Medicine",
issn = "0278-4297",
publisher = "American Institute of Ultrasound in Medicine",
number = "5",

}

TY - JOUR

T1 - Intraoperative sonography during carotid endarterectomy

T2 - Normal appearance and spectrum of complications

AU - Weinstein, Stefanie

AU - Mabray, Marc C.

AU - Aslam, Riz

AU - Hope, Tom

AU - Yee, Judy

AU - Owens, Christopher

PY - 2015/1/1

Y1 - 2015/1/1

N2 - Carotid endarterectomy is a commonly performed procedure for prevention of stroke related to carotid stenosis. Intraoperative sonography is used to identify potentially correctable technical defects during carotid endarterectomy. The main risk of endarterectomy is perioperative stroke, and great effort has been put into trying to reduce this risk through various surgical techniques and evaluation of the surgical bed. Postoperative carotid thrombosis, or thombo-embolization from the arterectomy site, remains a common cause of perioperative stroke and is often related to technical defects in the arterial reconstruction procedure. Re-exploration and repair of any imperfections have the potential to improve outcomes. Intraoperative imaging can identify potentially occult lesions, provide the option for correction, and thus reduce chance of stroke. Familiarity with the spectrum of intraoperative sonographic findings helps correctly identify residual intimal dissection flaps, plaque, thrombi, and stenosis, which may require immediate surgical revision. Our objective is to illustrate the spectrum of intraoperative findings and their importance.

AB - Carotid endarterectomy is a commonly performed procedure for prevention of stroke related to carotid stenosis. Intraoperative sonography is used to identify potentially correctable technical defects during carotid endarterectomy. The main risk of endarterectomy is perioperative stroke, and great effort has been put into trying to reduce this risk through various surgical techniques and evaluation of the surgical bed. Postoperative carotid thrombosis, or thombo-embolization from the arterectomy site, remains a common cause of perioperative stroke and is often related to technical defects in the arterial reconstruction procedure. Re-exploration and repair of any imperfections have the potential to improve outcomes. Intraoperative imaging can identify potentially occult lesions, provide the option for correction, and thus reduce chance of stroke. Familiarity with the spectrum of intraoperative sonographic findings helps correctly identify residual intimal dissection flaps, plaque, thrombi, and stenosis, which may require immediate surgical revision. Our objective is to illustrate the spectrum of intraoperative findings and their importance.

KW - Carotid

KW - Endarterectomy

KW - Intraoperative

KW - Thromboembolic

KW - Vascular

KW - Vascular ultrasound

UR - http://www.scopus.com/inward/record.url?scp=84928942034&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84928942034&partnerID=8YFLogxK

U2 - 10.7863/ultra.34.5.885

DO - 10.7863/ultra.34.5.885

M3 - Article

C2 - 25911722

AN - SCOPUS:84928942034

VL - 34

SP - 885

EP - 894

JO - Journal of Ultrasound in Medicine

JF - Journal of Ultrasound in Medicine

SN - 0278-4297

IS - 5

ER -