Monday, June 26, 2017

Evolution of practices in carotid surgery: from 2006 to 2015

Carotid artery intervention or surgery is less often performed in our hospital for various reasons when compared to the more often performed coronary artery surgery and interventions.. Similarly in the last 10 years, this has not changed significantly. In addition the high dose statin therapy and best medical therapies are gaining popular in many hospital. Early initiation of best medical therapies helping the patients to prevent the next event. It is still very difficult to do carotid endarterectomy in the early window period (golden period is less than a week after indexed event TIA) due to many factors which delay the entry of the patient to the operation theatre. As the time passes the risk drops and patients also postpone it further.

An observational analysis showed stability in the number of carotid procedures performed during the period and a progressive modification of carotid surgery practices in France, in accordance with the recommendations of learned societies and major publications. We also feel that seems to be fact in many other hospitals.



Reference

Salomon du Mont, Lucie et al.. Evolution of practices in carotid surgery: observational study in France from 2006 to 2015.   Annals of Vascular Surgery , Volume 0 , Issue 0 ,

http://www.annalsofvascularsurgery.com/article/S0890-5096(17)30325-4/fulltext 

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