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N Z Med J ; 123(1323): 58-74, 2010 Sep 24.
Artigo em Inglês | MEDLINE | ID: mdl-20930913

RESUMO

AIMS: The aim of this project was to employ interdepartmental and cross district health board collaboration to reach a regional consensus on the management of patients who may benefit from carotid endarterectomy. METHODS: All regional stroke physicians, neurologists, and vascular surgeons met to review relevant literature and local audits and to discuss best management strategies suited to the region. RESULTS: A consensus statement was agreed upon and is presented here along with a summary of the supporting scientific evidence. DISCUSSION: Regional interdisciplinary collaboration proved an effective way to reach a carotid endarterectomy management consensus across a wider geographical area that is served by a single vascular surgery department. This approach could serve as a model for other regional initiatives.


Assuntos
Estenose das Carótidas/cirurgia , Endarterectomia das Carótidas/normas , Acidente Vascular Cerebral/prevenção & controle , Anticoagulantes/uso terapêutico , Ponte de Artéria Coronária , Diagnóstico por Imagem , Feminino , Humanos , Masculino , Nova Zelândia , Seleção de Pacientes , Complicações Pós-Operatórias/prevenção & controle
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