Carotid endarterectomy

This is the first reported series of carotid endarterectomies from Pakistan. Of the 68 patients that presented with symptoms suggestive of cerebro-vascular insufficiency, 59 were evaluated noninvasive using bi-directional Doppler and photo-plethysmography. Accuracy of non invasive testing was 75%. Six carotid endarterectomies were performed with no operative mortality and a single minor residual neurologic deficit suggesting that the procedure can be performed locally with a reasonable degree of safety