Duplex Surveillance of Patients Following Carotid Endarterectomy

Should patients undergoing carotid endarterectomy be subject to routine post-operative surveillance? What are the significant issues relating to this question and how should they be approached? This article reviews the recent relevant literature and research on surveillance following carotid endarterectomy. Areas for consideration include restenosis, progression of contralateral disease, treatment of asymptomatic carotid disease and costeffectiveness of surveillance programmes. The article also offers some personal reflection on the issues of debate and discusses possible resulting recommendations.