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Discretionary carotid patch angioplasty leads to good results
- Source :
- American journal of surgery. 192(5)
- Publication Year :
- 2006
-
Abstract
- Background This study evaluated the type and need for angioplasty in 253 consecutive carotid endarterectomies. Methods Polyester knitted gelatin sealed patch (DP) and polytetrafluoroethylene (PTFE) patches were used in, respectively, 159 and 29 patients, with 65 vessels closed primarily (no patch [NP]). Results Surgical results, estimated blood loss, and surgical time were similar in each group. Postoperative hematomas occurred in 6 DP and 3 NP patients. There were 3 strokes in the DP group. Long-term duplex evaluation was possible in 201 patients. The number of patients who had less than 15%, 15% to 50%, 50% to 79%, 80% to 99%, 100%, or an ungraded degree of narrowing were as follows for each group: DP, 117, 2, 5, 0, 1, and 2; PTFE, 18, 1, 1, 0, 0; and NP, 53, 0, 0, 0, 1. Statistical analysis failed to show any difference between groups postoperatively or in long-term follow-up evaluation. Conclusions It appears that selective patching is safe and effective in male patients who undergo carotid endarterectomy. The type of patch material also is inconsequential. Patch type and its use should be at the surgeon’s discretion.
- Subjects :
- Surgical results
Male
medicine.medical_specialty
Patch material
medicine.medical_treatment
Polyesters
Blood Loss, Surgical
Myocardial Infarction
Coronary Disease
Carotid endarterectomy
Comorbidity
chemistry.chemical_compound
Blood Vessel Prosthesis Implantation
Postoperative Complications
Recurrence
Angioplasty
medicine
Humans
Statistical analysis
Carotid Stenosis
Life Tables
Polytetrafluoroethylene
Aged
Retrospective Studies
Aged, 80 and over
Endarterectomy, Carotid
Ultrasonography, Doppler, Duplex
business.industry
Patch angioplasty
General Medicine
Middle Aged
Surgery
Patch type
Stroke
Treatment Outcome
chemistry
Female
business
Carotid Artery, Internal
Subjects
Details
- ISSN :
- 18791883
- Volume :
- 192
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- American journal of surgery
- Accession number :
- edsair.doi.dedup.....142649e329db5dc2d155bb92e421d059