Selective expanded polytetrafluorethylene patch angioplasty vs. primary closure after carotid endarterectomy – a 13-year experience

2021 ◽  
Vol 84/117 (3) ◽  
Author(s):  
Petr Dráč ◽  
Daniel Šaňák ◽  
Petr Utíkal ◽  
Martin Köcher ◽  
Michal Král ◽  
...  
Keyword(s):  
Carotid Endarterectomy ◽  
Primary Closure ◽  
Patch Angioplasty

scholarly journals Durability of eversion carotid endarterectomy: Comparison with primary closure and carotid patch angioplasty

2001 ◽  
Vol 34 (3) ◽  
pp. 453-458 ◽  
Author(s):  
Tony Katras ◽  
Ulises Baltazar ◽  
Daniel S. Rush ◽  
W.Chris Sutterfield ◽  
Leo M. Harvill ◽  
...  
Keyword(s):  
Carotid Endarterectomy ◽  
Primary Closure ◽  
Patch Angioplasty

Patch angioplasty versus primary closure for carotid endarterectomy

2004 ◽  
Author(s):  
Richard Bond ◽  
Kittipan Rerkasem ◽  
Ali F AbuRahma ◽  
A Ross Naylor ◽  
Peter M Rothwell
Keyword(s):  
Carotid Endarterectomy ◽  
Primary Closure ◽  
Patch Angioplasty

Comparison of primary closure with dacron patch angioplasty in early and late restenosis after carotid endarterectomy

2001 ◽  
Vol 88 (4) ◽  
pp. 599-599
Author(s):  
D. J. Gerrard ◽  
A. H. Hatrick ◽  
R. A. Dourado ◽  
H. Patel ◽  
A. T. Irvine ◽  
...  
Keyword(s):  
Carotid Endarterectomy ◽  
Primary Closure ◽  
Patch Angioplasty ◽  
Dacron Patch ◽  
Late Restenosis

scholarly journals Outcomes of Carotid Endarterectomy with Primary Closure

2017 ◽  
Vol 26 (02) ◽  
pp. 083-088 ◽  
Author(s):  
Ivy Cheng ◽  
Krishna Vyas ◽  
Santhosh Velaga ◽  
Daniel Davenport ◽  
Sibu Saha
Keyword(s):  
Carotid Endarterectomy ◽  
Primary Closure ◽  
Complication Rates ◽  
Short Term ◽  
Specific Patient ◽  
Cross Clamp Time ◽  
Complication Risk ◽  
Duplex Imaging ◽  
Patch Angioplasty

AbstractCarotid endarterectomy (CEA) reduces the risk of stroke in patients with internal carotid artery stenosis, although the optimal surgical technique is debated. The literature suggests that patch angioplasty reduces complication risk, although primary closure shortens cross-clamp time and eliminates complications associated with grafts.The objective of this study was to assess the complication rate after CEA with primary closure.Retrospective review of 240 consecutive patients between 2002 and 2010. Of these patients, 70% returned for follow-up visits for at least 2 or more years.Primary closure was used in all patients. The average cross-clamp time was 18 minutes. Complications in the immediate postoperative period within 30 days were as follows: stroke (n = 3; 1.1%), transient ischemic attack (TIA; n = 4; 1.5%), myocardial infarction (MI; n = 3; 1.1%), and death (n = 1; 0.4%). Short-term follow-up revealed eight patients who were found to have significant restenosis (>80%) by carotid duplex imaging. Two to ten year postoperative complication rates were as follows: stroke (n = 7; 4.2%), TIA (n = 7; 4.2%), amaurosis fugax (n = 1; 0.6%), MI (n = 8; 4.8%), and death (n = 28; 17%). Mortality was due to stroke or heart attack (n = 2; 1.2%), cancer (n = 7; 4.2%), and unknown causes (n = 19; 11%).This study presents our experience with complications after primary closure after CEA. In our experience, CEA is a safe and effective surgical means of preventing stroke in the short term. Well-designed prospective studies are needed to confirm specific patient characteristics in which primary closure and patch angioplasty are indicated.

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