We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Primary versus patch closure after carotid endarterectomy: A retrospective study.
- Authors
Farouk, Nehal; Abdo, Ehab M.; Elimam, Sameh E.; Elshinawy, Waleed E.; Abdelhafez, Abdelaziz A.; Sakr, Lobna Kh; Abdo, Walaa Husein; Abdel-Tawab, Hayam; Elhamrawy, Eman A.; Ahmed, Sahar Fares; Ismael, Shymaa Adel; Elawady, Mahmoud Kamel; Kamel, Samy Ibrahim; Elsheikh, Rehab; Osama, Ayman
- Abstract
Purpose: The present study aimed to provide our experience with patch closure (PAC) and primary closure (PRC) after carotid endarterectomy (CEA). Materials & methods: The present retrospective comparative study included 106 patients submitted to elective CEA. They comprised 50 patients in PRC group and 56 patients in PAC group. Patients were followed perioperatively, at three months and at one year for surgical complications, stroke, and restenosis. Results: Postoperatively, no significant differences were found between the studied groups regarding rates of stroke (6.0% versus 3.6%, p=0.740), infection (0.0% versus 3.6%, p=0.520), hematoma (2.0% versus 1.8%, p=0.940), pseudoaneurysm (0.0% versus 3.6%, p=0.520), cranial nerve injury (2.0% versus 1.8%, p=0.940), and cardiac events (2.0% versus 1.8%, p=0.940). At three months, three patients in PRC group and four in PAC group were lost to follow up. No significant differences were found between the studied groups regarding rate of restenosis at three months (2.1% versus 0.0%, p=0.960). At one year, patients in PRC group experienced significantly higher rate of restenosis (14.9% versus 1.9%, p=0.046). None of the studied patients died. Conclusions: CEA combined with patch angioplasty may be associated with lower restenosis rate.
- Subjects
EGYPT; THERAPEUTIC complications; DOPPLER ultrasonography; T-test (Statistics); MAJOR adverse cardiovascular events; TREATMENT effectiveness; RETROSPECTIVE studies; DESCRIPTIVE statistics; COLOR Doppler ultrasonography; CHI-squared test; HEMATOMA; LONGITUDINAL method; SURGICAL complications; ELECTIVE surgery; FALSE aneurysms; COMPARATIVE studies; DISEASE relapse; DATA analysis software; STROKE; SURGICAL site infections; CAROTID endarterectomy; CAROTID artery ultrasonography; CRANIAL nerves; EVALUATION; DISEASE risk factors
- Publication
Electronic Journal of General Medicine, 2024, Vol 21, Issue 3, p1
- ISSN
2516-3507
- Publication type
Article
- DOI
10.29333/ejgm/14596