Introduction. The Carotid Endarterectomy (CEA) is used for stroke prophylaxis in asymptomatic carotid stenosis and in patients with previous strokes or transient ischemic attacks. / Objective. To audit the operative results of the CEA in the province of Quebec between 1996 and 1999. / Methods. The Quebec Medical Discharge Summary Database provided demographics and surgical complications following all CEAs performed between 1996--1999. / Results. The CEA was performed at a rate of 42 procedures/100 000 persons aged greater than 40 however this rate appears to be declining over the study span. Being operated on by a neurosurgeon was an independent risk factor for peri-operative stroke (OR 1.55, 95%CI 1.12--2.12). There was no difference in outcomes between teaching and non-teaching centres. / Conclusion. The CEA is being used less frequently recently and is being performed fewer times than in the United States. Neurosurgeons have poorer outcomes which might be due to surgeon factors or poorly controlled counfounders.
| Identifer | oai:union.ndltd.org:LACETR/oai:collectionscanada.gc.ca:QMM.78386 |
| Date | January 2002 |
| Creators | Irshad, Kashif |
| Contributors | Sampalis, John (advisor) |
| Publisher | McGill University |
| Source Sets | Library and Archives Canada ETDs Repository / Centre d'archives des thèses électroniques de Bibliothèque et Archives Canada |
| Language | English |
| Detected Language | English |
| Type | Electronic Thesis or Dissertation |
| Format | application/pdf |
| Coverage | Master of Science (Division of Surgical Research.) |
| Rights | All items in eScholarship@McGill are protected by copyright with all rights reserved unless otherwise indicated. |
| Relation | alephsysno: 001974788, proquestno: AAIMQ88221, Theses scanned by UMI/ProQuest. |
Page generated in 0.0023 seconds