The authors report their experience with intraoperative Doppler spectrum analysis of carotid flow after thromboendoarterectomy. The method seems to be useful in the early localisation of technical defects potentially responsible for postoperative stroke. In 22 patients operated on consecutively, three major abnormalities were detected, one of the internal and two of the external carotid. This enabled immediate reexploration of the involved artery with restoration of normal flow. This kind of examination is also safe, quick and highly accurate. The authors propose it as a substitute to intraoperative arteriography which is routinely performed by some surgeons after carotid thromboendoarterectomy.
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Intern Emerg Med
June 2015
Dipartimento di Medicina Clinica e Molecolare, Facoltà di Medicina e Psicologia, UOC Medicina 3, Azienda Ospedaliera Sant'Andrea, Università "La Sapienza", Rome, Italy,
The aim of this study was to evaluate fibroblast growth factor (FGF)-23 serum levels and its tissue expression in patients with critical carotid artery stenosis (CAS). We selected 35 patients with critical CAS undergoing carotid thromboendoarterectomy. In each patient, FGF-23 serum levels were evaluated just prior to the surgery (t0) and 30 min (t1) thereafter.
View Article and Find Full Text PDFMinerva Anestesiol
April 2009
Department of Cardiothoracic and Vascular Anesthesia, San Raffaele Vita-Salute University, Milan, Italy.
Background: The authors performed a study to evaluate if the onset time, duration of sensory block, and quality of postoperative analgesia in superficial cervical plexus anesthesia with 0.5% levobupivacaine (1 mg/kg) was greater than 0.75% ropivacaine (1.
View Article and Find Full Text PDFJ Neuroradiol
June 1997
Department of Radiology, Institute of Scientific Research Casa Sollievo della Sofferenza, Foggia, Italy.
Purpose: To determine sensitivity, specificity and diagnostic accuracy of spiral CT angiography (S-CTA) compared to Digital Subtraction Angiography (DSA).
Materials And Methods: We studied 40 patients with suspected cerebro-vascular insufficiency by carotid stenosis. Diagnostic examinations by means of S-CTA and DSA were carried out within 24 hours of each other.
Cardiologia
October 1994
Divisione di Cardiologia, Ospedale Santa Corona, Garbagnate Milanese, Milano.
Patients undergoing vascular surgery are at high risk of developing cardiac events in the perioperative period. The aim of the study was the evaluation of the predictive accuracy of transesophageal atrial pacing (TAP) in identifying patients at higher risk of developing major cardiac events (cardiac death, acute myocardial infarction, unstable angina, heart failure and sustained ventricular tachyarrhythmias). We studied 96 consecutive patients, 80 males and 16 females, median age 63, requiring arterial surgery (aortofemoral or aortoiliac bypass and thromboendoarterectomy, abdominal aneurysm resection and extracranial carotid thromboendoaterectomy).
View Article and Find Full Text PDFJ Cardiovasc Surg (Torino)
November 1984
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