The American Journal of Surgery
Volume 188, Issue 6 , Pages 638-643 , December 2004

Development and implementation of a rapid, accurate, and cost-effective protocol for national stroke prevention screening

Presented at the 56th Annual Meeting of the Southwestern Surgical Congress, Monterey, California, April 18–21, 2004

  • George S. Lavenson Jr, M.D., R.V.T.

      Affiliations

    • Department of Vascular Surgery, Kaweah Delta District Hospital, 609 Acequia, Suite C, Visalia, CA 93291, USA
    • Corresponding Author InformationCorresponding author: Tel.: +1-559-625-4118; fax: +1-559-625-6004.
    • ,
  • Richard L. Pantera, M.D.

      Affiliations

    • Department of Neurology, Kaweah Delta District Hospital, 609 Acequia, Suite C, Visalia, CA 93291, USA
    • ,
  • Rosa M. Garza, R.N.

      Affiliations

    • Department of Outpatient Clinics, Kaweah Delta District Hospital, 609 Acequia, Suite C, Visalia, CA 93291, USA
    • ,
  • Tracey Neff, R.N., B.S.

      Affiliations

    • Department of Outpatient Clinics, Kaweah Delta District Hospital, 609 Acequia, Suite C, Visalia, CA 93291, USA
    • ,
  • Sue D. Rothwell, R.N.

      Affiliations

    • Department of Outpatient Clinics, Kaweah Delta District Hospital, 609 Acequia, Suite C, Visalia, CA 93291, USA
    • ,
  • Jane Cisneros, R.V.T.

      Affiliations

    • Department of Radiology, Kaweah Delta District Hospital, 609 Acequia, Suite C, Visalia, CA 93291, USA

Received 20 July 2004 ,Revised 7 August 2004

References 

  1. McDowell FH , Caplan LR . Cerebrovascular Surgery Report for the National Institute of Neurological and Communicative Disorders and Stroke . Bethesda, MD: National Institutes of Health, Public Health Service; 1985;
  2. Recer P . Surgery cuts stroke risk, study shows . The Fresno Bee . 1994; October 1, 1994.
  3. The National Stroke Association Newsletter . 1994;11(2):3
  4. Perry JR , Szalai JP , Norris W . Consensus against both endarterectomy and routine screening for asymptomatic carotid artery stenosis . Arch Neurol . 1997;54:25–28
  5. Lavenson GS . Carotid screening (preparing for the future) . Vasc Ultrasound Today . 1997;2:63–72
  6. Lavenson GS . A new accurate, rapid and cost-effective protocol for stroke prevention screening . Card Vasc Surg . 1998;6:590–593
  7. Lavenson GS . Stroke prevention screening (rationale, method and implementation) . Vasc Ultrasound Today . 2003;8:3–24
  8. Jacobowitz GR , Rockman CB , Gagne PJ , et al.   A model for predicting occult carotid artery stenosis (screening is justified in a selected population) . J Vasc Surg . 2003;38:705–709
  9. Rockman CB , Jacobowitz GR , Gagne PJ , et al.   Focused screening for occult carotid artery disease (patients with known heart disease are at high risk) . J Vasc Surg . 2004;39:44–51
  10. Lavenson GS , Sharma D . Cost savings of carotid endarterectomy (value of one vascular surgeon in one year) . Perspect Vasc Surg . 1994;7:1–20
  11. Cronenwett JL , Birkmeyer JD , Nackman GB , et al.   Cost effectiveness of carotid endarterectomy in asymptomatic patients . J Vasc Surg . 1997;25:298–311
  12. North American Symptomatic Carotid Endarterectomy Trial Collaborators . Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis . JAMA . 1995;273:1421–1428
  13. Executive Committee for the Asymptomatic Carotid Arteriosclerotic Study . Endarterectomy for asymptomatic carotid artery stenosis . JAMA . 1995;273:1421–1428
  14. Moore WS , Boren C , Malone JM , et al.   Asymptomatic carotid stenosis (immediate and long term results after prophylactic endarterectomy) . Am J Surg . 1979;138:228–233
  15. Park Y , El-Bayar H , Hye RJ , et al.   Safety and long-term benefit of carotid endarterectomy in the asymptomatic patient . Ann Vasc Surg . 1990;4:218–222
  16. Treiman RL , Cossman DV , Foran RF , et al.   The risk of carotid endarterectomy for the asymptomatic patient (an argument for prophylactic operation) . Ann Vasc Surg . 1990;4:29–33
  17. Thompson JE . Carotid endarterectomy for asymptomatic carotid stenosis (an update) . J Vasc Surg . 1991;13:669–676
  18. Lovett JK , Coull AJ , Rothwell PM . Early risk of recurrence by subtype of ischemic stroke in population-based incidence studies . Neurol . 2004;62:569–573

PII: S0002-9610(04)00420-9

doi: 10.1016/j.amjsurg.2004.08.055

The American Journal of Surgery
Volume 188, Issue 6 , Pages 638-643 , December 2004

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