Benefits of carotid patching: A randomized study

Eikelboom, B.C.; Ackerstaff, R.G.A.; Hoeneveld, H.; Ludwig, Josef; Teeuwen, C.; Vermeulen, F.; Welten, R.J.Th.J.

doi:10.1016/0741-5214(88)90142-5

Cited by 207 publications

(67 citation statements)

References 15 publications

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“…Hemodynamically significant recurrent stenosis rates of 5% to 7% have been reported in multicenter trials (62,176,276,(282)(283)(284)(285)(286)(287)(288)(289)(290)(291)(292)(293)(294)(295)(296)(297)(298)(299). Data comparing restenosis after CEA and CAS must be interpreted cautiously because of selection bias and stentgenerated artifacts in ultrasound velocity measurements.…”

Section: Durability Of Carotid Revascularizationmentioning

confidence: 94%

2011 ASA/ACCF/AHA/AANN/AANS/ACR/ASNR/CNS/SAIP/SCAI/SIR/SNIS/SVM/SVS Guideline on the Management of Patients With Extracranial Carotid and Vertebral Artery Disease: Executive Summary

Brott¹,

Halperin²,

Abbara

et al. 2011

Journal of the American College of Cardiology

366

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Section: Durability Of Carotid Revascularizationmentioning

confidence: 94%

2011 ASA/ACCF/AHA/AANN/AANS/ACR/ASNR/CNS/SAIP/SCAI/SIR/SNIS/SVM/SVS Guideline on the Management of Patients With Extracranial Carotid and Vertebral Artery Disease: Executive Summary

Brott¹,

Halperin²,

Abbara

et al. 2011

Journal of the American College of Cardiology

366

View full text Add to dashboard Cite

“…Patch angioplasty also reduces the shear stress felt responsible for recurrent atherosclerosis. Recently numerous studies regarding the effect of primary closure and patch angioplasty have confirmed the reduction in the incidence of significant restenosis in the patch group, especially with prosthetic patches [3,8,18]. It has been stated in the literature that recurrent stenosis occurs in 10-32% of the patients undergoing CEA, of which 5-9% are critical stenosis [4][5][6]10,14,16,[20][21][22][23][24][25][26].…”

Section: Discussionmentioning

confidence: 98%

Carotid endarterectomies with PTFE patch angioplasty

2011

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Surgical treatment of carotid stenosis has proved to be superior to medical treatment in many studies. However, debate continues on the issue of surgical techniques. Closure of the arteriotomy site remains to be one of these concerns. This study aims to evaluate the results of CEA with PTFE patch angioplasty in a prospective non-randomized way. Reports on 22 patients who had undergone CEA with PTFE patch angioplasty between January 1999 and September 2000 in the Medical Faculty of Istanbul University were reviewed. Follow-up studies with Duplex ultrasonography were completed. One of the patients (5%) suffered from a TIA and another one (5%) from wound haematoma. The mean operation time was 83.64 ± 34.07 min (45-160 min). No restenosis was detected during the followup period. Although PTFE patch angioplasty prolongs the operation period in CEA procedures, it is a safe method, which prevents the restenosis of the operated carotid artery that might make reintervention necessary.

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“…Restenosis after CEA has been reported in 5% to 10% of cases when assessed by postoperative ultrasonography, but the rate has been consistently below 5% when patching was used in more recent series (407,440,468,624,625,628 -630). When periodic duplex scanning is used, hemodynamically significant recurrent stenosis rates of 5% to 7% have been reported in multicenter trials in which the quality of surgery is monitored carefully (396,403,404,406,440,628,(631)(632)(633)(634)(635)(636)(637)(638)(639)(640)(641)(642)(643)(644)(645).…”

Section: Anatomic Durability Of Carotid Surgery and Carotid Stentingmentioning

confidence: 96%

“…The advantage of patch closure is visual confirmation of complete plaque removal, but the disadvantage is the greater length of time required for closure. Multiple comparative reviews have failed to demonstrate a consistent difference in outcomes with either technique compared with the other (395)(396)(397)(398)(399)(400)(401)(402)(403)(404)(405). One report involved a single experienced surgeon and a series of patients who required staged bilateral CEA in whom 1 side was randomly allocated to primary closure and the other side to patch angioplasty (406).…”

Section: Technical Considerationsmentioning

confidence: 99%