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.

Carotid Endarterectomy With Primary Closure: Analysis of Outcomes and Review of the Literature

Neurosurgery ◽  
2011 ◽  
Vol 70 (3) ◽  
pp. 646-655 ◽  
Author(s):  
Georgios Zenonos ◽  
Ning Lin ◽  
Albert Kim ◽  
Jeong Eun Kim ◽  
Lance Governale ◽  
...  
Keyword(s):  
Carotid Endarterectomy ◽  
Medical Records ◽  
Primary Closure ◽  
Medication Compliance ◽  
Senior Author ◽  
Careful Evaluation ◽  
Patch Angioplasty ◽  
St Elevation ◽  
Structured Questionnaire

Abstract Background: Despite abundant published support of patch angioplasty during carotid endarterectomy (CEA), primary closure is still widely used. The reasons underlying the persistence of primary closure are not quite evident in the literature. Objective: To present our experience with primary closure in CEA, and provide a rationale for its persistent wide use. Methods: Medical records of all patients undergoing CEA by the senior author (R.F.) were retrospectively reviewed. Follow-up was supplemented with a telephone interview and completion of a structured questionnaire. A review of the current literature was performed. Results: From 1998 to 2010, the senior author performed 111 CEAs. Average cross-clamp time was 33 ± 11 minutes. Postoperative complications included 1 non– ST-elevation myocardial infarction and 2 strokes. No deaths, cranial-nerve deficits, or acute reocclusions were observed. After a mean follow-up of 64.6 months (7170.6 case-months), there were 3 contralateral strokes and 7 deaths. There were no ipsilateral strokes or restenoses >50%. Follow-up medication compliance was 94.6% for anti-platelet agents and 91.9% for statins. The outcomes of the current study were comparable to those of the available trials comparing patch angioplasty with primary closure. A careful evaluation of the literature revealed a number of reasons potentially explaining the persistent use of patch angioplasty. Conclusion: In conjunction with contemporary medical management, primary closure during CEA may yield results comparable or superior to patch angioplasty. Advantages of primary closure include shorter cross-clamp times and elimination of graft-specific complications.

Sign in / Sign up

Export Citation Format

Share Document