scholarly journals Preoperative Symptom Type Influences the Early Outcomes of Carotid Endarterectomy (CEA) and Carotid Stenting (CAS) in the Society for Vascular Surgery Vascular Registry® (SVS-VR)

2013 ◽  
Vol 57 (5) ◽  
pp. 5S-6S
Author(s):  
Patrick Geraghty ◽  
Thomas E. Brothers ◽  
David L. Gillespie ◽  
Gilbert R. Upchurch ◽  
Michael C. Stoner ◽  
...  
Keyword(s):  
Vascular Surgery ◽  
Carotid Endarterectomy ◽  
Carotid Stenting ◽  
Preoperative Symptom ◽  
Symptom Type

scholarly journals Preoperative symptom type influences the 30-day perioperative outcomes of carotid endarterectomy and carotid stenting in the Society for Vascular Surgery Vascular Registry

2014 ◽  
Vol 60 (3) ◽  
pp. 639-644 ◽  
Author(s):  
Patrick J. Geraghty ◽  
Thomas E. Brothers ◽  
David L. Gillespie ◽  
Gilbert R. Upchurch ◽  
Michael C. Stoner ◽  
...  
Keyword(s):  
Vascular Surgery ◽  
Carotid Endarterectomy ◽  
Carotid Stenting ◽  
Perioperative Outcomes ◽  
Preoperative Symptom ◽  
Symptom Type

Abstract TP369: Post-Procedural Nursing Care of Carotid Endarterectomy and Carotid Stenting Patients: The Impact of a Standardized Order Set

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Sarah M Cook ◽  
Katherine Spiering ◽  
Benjamin K Morrow ◽  
Eileen Roach ◽  
Ashutosh Jadhav ◽  
...  
Keyword(s):  
Vascular Surgery ◽  
Carotid Endarterectomy ◽  
Nursing Care ◽  
Cohort Analysis ◽  
Carotid Stenting ◽  
Service Line ◽  
Care Protocol ◽  
Comprehensive Stroke Center ◽  
The Impact ◽  
Order Set

Background: Carotid endarterectomy (CEA) and carotid stenting (CAS) procedures are performed by 3 service lines- neurosurgery, neurology, and vascular surgery in our academic medical facility. Despite 3 services caring for carotid disease patients, post-procedural nursing care is managed utilizing service line specific protocols and order sets that differ in content creating variations in post-procedural nursing care delivered on service line specific nursing units. This lack of standardization yielded variations in post-procedural nursing care and recommendations for improvement (RFI) during the hospital’s Comprehensive Stroke Center Joint Commission survey. Purpose: The purpose of this project is to standardize post-procedural nursing care provided to CEA/CAS patients across neurosurgery, neurology, and vascular surgery. Methods: Creation of a shared CEA/CAS order set among neurosurgery, neurology, and vascular surgery developed with input and agreement from providers; education was provided to nurses and physicians. Patients were prospectively identified by the stroke quality nurse, and notification was sent to post-procedural units to ensure the new CEA/CAS protocol and order set was utilized to guide post-procedural nursing care. Auditing 100% of cases for order set and protocol utilization, and real time feedback to nurses and providers on non-compliance was completed by the stroke quality nurse. Results: A total of 219 patients (120 pre and 99 post) were retrospectively reviewed in a pre and post cohort analysis. Order set utilization increased from 74.1% pre to 86.8% post (12.7% increase; likelihood ratio p = 0.011) over 18 months. Adherence to CEA/CAS care protocol and nursing documentation improved thus no associated RFIs in our 2019 stroke reaccreditation survey. Conclusion: Multi-disciplinary collaboration to create a uniform protocol and order set to guide post-procedural nursing care, in conjunction with a formal implementation and validation plan, results in successful standardization of post-procedural nursing care of the CEA/CAS patient population across 3 service lines and nursing units.

Endovascular Advances for Extracranial Carotid Stenosis

Neurosurgery ◽  
2014 ◽  
Vol 74 (suppl_1) ◽  
pp. S92-S101 ◽  
Author(s):  
Jorge L. Eller ◽  
Travis M. Dumont ◽  
Grant C. Sorkin ◽  
Maxim Mokin ◽  
Elad I. Levy ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Carotid Endarterectomy ◽  
Carotid Stenosis ◽  
Carotid Artery Stenosis ◽  
Carotid Artery Stenting ◽  
Carotid Stenting ◽  
Historical Background ◽  
Treatment Modalities ◽  
Endovascular Management ◽  
The Past

Abstract Carotid artery stenting has become a viable alternative to carotid endarterectomy in the management of carotid stenosis. Over the past 20 years, many trials have attempted to compare both treatment modalities and establish the indications for each one, depending on clinical and anatomic features presented by patients. Concurrently, carotid stenting techniques and devices have evolved and made endovascular management of carotid stenosis safe and effective. Among the most important innovations are devices for distal and proximal embolic protection and new stent designs. This paper reviews these advances in the endovascular management of carotid artery stenosis within the context of the historical background.

Postendarterectomy heparin-induced thrombocytopenia

1988 ◽  
Vol 69 (4) ◽  
pp. 632-634 ◽  
Author(s):  
Larry A. Rogers
Keyword(s):  
Platelet Count ◽  
Vascular Surgery ◽  
Carotid Endarterectomy ◽  
Potential Problem ◽  
Anticoagulation Therapy ◽  
Massive Bleeding ◽  
Drug Induced ◽  
Heparin Induced Thrombocytopenia ◽  
Content Type ◽  
Fine Print

✓ Two episodes of massive bleeding from a sutured arteriotomy were observed within 30 hours after carotid endarterectomy. The patient had received anticoagulation therapy with heparin for 72 hours prior to surgery. A platelet count of 93,000/cu mm was demonstrated following the second hemorrhage. The potential problem of drug-induced thrombocytopenia following vascular surgery is discussed.

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