Journal of Vascular Surgery
Volume 37, Issue 1 , Pages 32-39 , January 2003

Multistate population-based outcomes of combined carotid endarterectomy and coronary artery bypass

Presented at the Fiftieth Annual Meeting of the American Association for Vascular Surgery, Boston, Mass, Jun 9-12, 2002.

  • Kellie R. Brown, MD

      Affiliations

    • University of Chicago Robert Wood Johnson Clinical Scholars Progam Iowa City, Iowa
    • ,
  • Timothy F. Kresowik, MD

      Affiliations

    • Division of Vascular Surgery, University of Iowa Iowa City, Iowa
    • Iowa Foundation for Medical Care. Iowa City, Iowa
    • ,
  • Marshall H. Chin, MD, MPH

      Affiliations

    • University of Chicago Robert Wood Johnson Clinical Scholars Progam Iowa City, Iowa
    • Iowa Foundation for Medical Care. Iowa City, Iowa
    • ,
  • Rebecca A. Kresowik, BLS

      Affiliations

    • Iowa Foundation for Medical Care. Iowa City, Iowa
    • ,
  • Sherry L. Grund, RN

      Affiliations

    • Iowa Foundation for Medical Care. Iowa City, Iowa
    • ,
  • Marc E. Hendel, MS

      Affiliations

    • Iowa Foundation for Medical Care. Iowa City, Iowa

Received 18 June 2002 ,Accepted 26 August 2002.

  • Image Result

    Indications for CEA.

    Indications for CEA.

  • Image Result

    Carotid stenosis severity. I ≥ 80, Ipsilateral stneosis ≥80%; I < 80, ipsilateral stenosis <80%; C ≥ 80, contralateral stensosis ≥80%; C < 80, contralateral stenosis <80%; C = 100, contralateral occlu

    Carotid stenosis severity. I ≥ 80, Ipsilateral stneosis ≥80%; I < 80, ipsilateral stenosis <80%; C ≥ 80, contralateral stensosis ≥80%; C < 80, contralateral stenosis <80%; C = 100, contralateral occlusion.

  • Image Result
    Carotid stenosis and indication for endarterectomy. Recent TIA/stroke, Those patients with TIA or stroke within 90 days before procedure as indication for CEA; bilat severe dz, those patients with bil

    Carotid stenosis and indication for endarterectomy. Recent TIA/stroke, Those patients with TIA or stroke within 90 days before procedure as indication for CEA; bilat severe dz, those patients with bilateral carotid stenosis ≥80% without recent TIA or stroke; none of above, those patients who did not have recent TIA or stroke as CEA indication and who did not have either bilateral 80% carotid stenoses or contralateral occlusion.

  • Image Result
    Locations of postoperative infarcts.

    Locations of postoperative infarcts.

☆ Supported by the Iowa Foundation for Medical Care and the Robert Wood Johnson Clinical Scholars Program.

☆☆ Analyses on which this publication is based were performed under Contract Number 500-99-IA03, entitled “Utilization and Quality Control Peer Review Organization for the State of Iowa,” sponsored by the Centers for Medicare and Medicaid Services, Department of Health and Human Services. Content of this publication does not necessarily reflect the views or policies of the Department of Health and Human Services, nor does mention of trade names, commercial products, or organization imply endorsement by the US Government.

★ The author assumes full responsibility for the accuracy and completeness of the ideas presented. This article is a direct result of the Health Care Quality Improvement Program initiated by the Centers for Medicare and Medicaid Services, which has encouraged identification of quality improvement projects derived from analysis of patterns of care and therefore required no special funding on the part of this contractor. Ideas and contributions to the author concerning experience in engaging with issues presented are welcomed.

★★ Competition of interest: nil.

♢ Reprint requests: Kellie R. Brown, MD, 9200 W. Wisconsin Ave, Milwaukee, WI 53226 (e-mail: krbrown@mcw.edu).

♢♢ 0741-5214/2003/$30.00 + 0

PII: S0741-5214(02)75201-4

doi: 10.1067/mva.2003.60

Journal of Vascular Surgery
Volume 37, Issue 1 , Pages 32-39 , January 2003

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