Revisiting carotid endarterectomy: Neobulb technique using external carotid artery as a patch.

Autor:	Araujo AP; 28130Angiocardiological Centre, Rio de Janeiro, Brazil., Araujo-Gomes CF; 28130Angiocardiological Centre, Rio de Janeiro, Brazil.; Teaching and Health Care Unit of Vascular and Endovascular Surgery, 28130Pedro Ernesto University Hospital (HUPE), Rio de Janeiro State University (UERJ), Rio de Janeiro, Brazil., Poschinger-Figueiredo D; 28130Angiocardiological Centre, Rio de Janeiro, Brazil.; Teaching and Health Care Unit of Vascular and Endovascular Surgery, 28130Pedro Ernesto University Hospital (HUPE), Rio de Janeiro State University (UERJ), Rio de Janeiro, Brazil., Delgado CFS; 28130Angiocardiological Centre, Rio de Janeiro, Brazil., Mayall MR; 28130Angiocardiological Centre, Rio de Janeiro, Brazil.; Teaching and Health Care Unit of Vascular and Endovascular Surgery, 28130Pedro Ernesto University Hospital (HUPE), Rio de Janeiro State University (UERJ), Rio de Janeiro, Brazil., Fb Campanario F; 28130Angiocardiological Centre, Rio de Janeiro, Brazil., Virgini-Magalhães CE; Teaching and Health Care Unit of Vascular and Endovascular Surgery, 28130Pedro Ernesto University Hospital (HUPE), Rio de Janeiro State University (UERJ), Rio de Janeiro, Brazil.
Jazyk:	angličtina
Zdroj:	Vascular [Vascular] 2023 Feb; Vol. 31 (1), pp. 83-89. Date of Electronic Publication: 2021 Dec 31.
DOI:	10.1177/17085381211052378
Abstrakt:	Objectives: This study describes an alternative carotid bifurcation endarterectomy technique in which the external carotid artery is used as a suture patch. Methods: Charts of ten patients with atherosclerotic carotid stenosis that were treated using the neobulb technique between 2002 and 2019 were reviewed. Results: No major surgical adverse event was observed in the postoperative assessments. No postoperative common or internal carotid stenosis was observed in the mid- or long-term follow-up. Conclusions: The neobulb technique allows carotid endarterectomy closure without a synthetic or venous patch, using the external carotid artery as an autologous patch, while preserving distal flow into the external carotid artery branches.
Databáze:	MEDLINE
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