Carotid endarterectomy: a Southern North Island regional consensus statement

N Z Med J. 2010 Sep 24;123(1323):58-74.

Abstract

Aims: The aim of this project was to employ interdepartmental and cross district health board collaboration to reach a regional consensus on the management of patients who may benefit from carotid endarterectomy.

Methods: All regional stroke physicians, neurologists, and vascular surgeons met to review relevant literature and local audits and to discuss best management strategies suited to the region.

Results: A consensus statement was agreed upon and is presented here along with a summary of the supporting scientific evidence.

Discussion: Regional interdisciplinary collaboration proved an effective way to reach a carotid endarterectomy management consensus across a wider geographical area that is served by a single vascular surgery department. This approach could serve as a model for other regional initiatives.

Publication types

  • Practice Guideline

MeSH terms

  • Anticoagulants / therapeutic use
  • Carotid Stenosis / surgery*
  • Coronary Artery Bypass
  • Diagnostic Imaging
  • Endarterectomy, Carotid / standards*
  • Female
  • Humans
  • Male
  • New Zealand
  • Patient Selection
  • Postoperative Complications / prevention & control
  • Stroke / prevention & control*

Substances

  • Anticoagulants