Prospective, randomized study of external jugular vein patch versus polytetrafluoroethylene patch during carotid endarterectomy: perioperative and long-term results

Grego, Franco; Antonello, Michelle; Lepidi, Sandro; Bonvini, Stefano; Deriu, Giovanni P.

doi:10.1016/s0741-5214(03)00912-1

Cited by 38 publications

(28 citation statements)

References 28 publications

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“…Grego et al prospectively compared jugular vein to PTFE patching and found no difference in stroke-free survival up to 60 months and no difference in recurrent stenosis. 17 Goldman et al compared saphenous vein, jugular vein, and Dacron patching in 275 CEAs and reported no differences in either perioperative morbidity and mortality or restenosis between any of the groups. 18 A small trial reported by Jacobowitz et al comparing jugular vein, saphenous vein, and Dacron patching, revealed a higher death rate for jugular vein compared with either saphenous vein or Dacron, and a nonsignificant higher stroke rate using jugular vein.…”

Section: Discussionmentioning

confidence: 99%

Results of Carotid Endarterectomy Using Bovine Pericardium Patch Closure, with a Review of Pertinent Literature

Olsen

Mcquinn

Feliciano

2016

The American Surgeon™

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Patch closure after carotid endarterectomy lowers risk of recurrent stenosis and perioperative neurologic events. Although vein patches have theoretic benefits, few differences between vein and nonautologous patches have been noted. Bovine pericardium has been increasingly used in carotid surgery over the last 15 years, with favorable reports. This study reviews a large carotid surgery series using this patch. Data were gathered on 464 consecutive carotid operations using the bovine pericardium patch; all complications were analyzed and pertinent literature review was performed. Of 464 procedures, 218 (47%) were performed for symptomatic disease. Total peri-operative ipsilateral stroke rate was 0.65 per cent. A low rate of postoperative bleeding was noted. Recurrence of >70 per cent stenosis was 1.6 per cent at follow-up of 26 months in 410 patients. Handling was subjectively described as excellent. Literature review comprising 3239 carotid operations revealed low risks of stroke, bleeding requiring intervention, or high rates of recurrent stenosis. Bovine pericardium patch angioplasty has low perioperative and late complications and good handling characteristics, making it an acceptable choice for use in carotid surgery.

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Section: Discussionmentioning

confidence: 99%

Results of Carotid Endarterectomy Using Bovine Pericardium Patch Closure, with a Review of Pertinent Literature

Olsen

Mcquinn

Feliciano

2016

The American Surgeon™

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“…Although patch repair seems to be associated with less early thrombosis and late restenosis (156,157), there is a 1% risk of patch "blow-out" or infection. The choice between prosthetic patch or vein patch appears to be less critical (158,159).…”

Section: Cea Historical Perspectivementioning

confidence: 99%

ACCF/SCAI/SVMB/SIR/ASITN 2007 Clinical Expert Consensus Document on Carotid Stenting

Bates¹,

Babb²,

Casey³

et al. 2007

Journal of the American College of Cardiology

286

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“…The choice between prosthetic patch or vein patch appears to be less critical. 158,159 Observational studies For nonrandomized observational studies, the 30-day risk of perioperative stroke or death after CEA was approximately 7% for patients with symptomatic stenosis and 3% to 5% for patients with asymptomatic stenosis. 160,161 Stroke rates were higher in women, octogenarians, after repeat CEA, and in patients undergoing formal neurological evaluation.…”

Section: Techniquementioning

confidence: 99%

ACCF/SCAI/SVMB/SIR/ASITN 2007 Clinical Expert Consensus Document on Carotid Stenting

Bates¹,

Babb²,

Cates³

et al. 2007

Vasc Med

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This document has been developed by the American College of Cardiology Foundation (ACCF) Task Force on Clinical Expert Consensus Documents (CECD), and was cosponsored by the Society for Cardiovascular Angiography and Interventions (SCAI), the Society for Vascular Medicine and Biology (SVMB), the Society of Interventional Radiology (SIR), and the American Society of Interventional & Therapeutic Neuroradiology (ASITN). It is intended to provide a perspective on the current state of carotid artery stenting (CAS). The CECDs are intended to inform practitioners, payers, and other interested parties of the opinion of the ACCF and cosponsors concerning evolving areas of clinical practice and/or technologies that are widely available or new to the practice community. Topics chosen for coverage by expert consensus documents are so designed because the evidence base, the experience with technology, and/or the clinical practice are not considered sufficiently well developed to be evaluated by the formal American College of Cardiology/ American Heart Association (ACC/AHA) practice guidelines process. Often the topic is the subject of ongoing investigation. Thus, the reader should view the CECD as the best attempt of the ACCF and the cosponsors to inform and guide clinical practice in areas where rigorous evidence may not be available or the evidence to date is not widely accepted. When feasible, CECDs include indications or contraindications. Some topics covered by CECDs will be addressed subsequently by the ACC/AHA Practice Guidelines Committee.The Task Force on CECDs makes every effort to avoid any actual or potential conflicts of interest that might arise as a result of an outside relationship or personal interest of a member of the writing panel. Specifically, all members of the writing panel are asked to provide disclosure statements of all such relationships that might be perceived as real or potential conflicts of interest to inform the writing effort. These statements are reviewed by the parent task force, reported orally to all members of the writing panel at the first meeting, and updated as changes occur. The relationships with industry information for writing committee members and peer reviewers are published in the appendices of the document.

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Prospective, randomized study of external jugular vein patch versus polytetrafluoroethylene patch during carotid endarterectomy: perioperative and long-term results

Abstract: We can conclude, with the power limitation of the study, that carotid endarterectomy can be safely performed with either the EJV or PTFE patch. Advantages of the EJV for carotid angioplasty include no cost for material, low risk for graft infection, and preservation of the saphenous vein.

Cited by 38 publications

References 28 publications

Results of Carotid Endarterectomy Using Bovine Pericardium Patch Closure, with a Review of Pertinent Literature

Results of Carotid Endarterectomy Using Bovine Pericardium Patch Closure, with a Review of Pertinent Literature

ACCF/SCAI/SVMB/SIR/ASITN 2007 Clinical Expert Consensus Document on Carotid Stenting

ACCF/SCAI/SVMB/SIR/ASITN 2007 Clinical Expert Consensus Document on Carotid Stenting

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