Long-term success of vein-patch and carotid endarterectomy
| Autor: | Theodore A. Stein, John B. Chang |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry medicine.medical_treatment Perioperative Carotid endarterectomy medicine.disease Surgery medicine.anatomical_structure Restenosis Carotid artery disease Internal medicine Angioplasty Angiography medicine Cardiology cardiovascular diseases Cardiology and Cardiovascular Medicine business Stroke Artery |
| Zdroj: | International Journal of Angiology. 7:177-180 |
| ISSN: | 1615-5939 1061-1711 |
| DOI: | 10.1007/bf01618395 |
| Popis: | Most patients with severe symptomatic carotid artery disease will benefit from a carotid endarterectomy to reduce the risk of a stroke. The long-term success of vein-patch angioplasty has been determined in this study. From 1974 to 1997, 507 patients had 587 carotid endarterectomies with a greater saphenous vein graft and 97 patients had 116 carotid endarterectomies with primary closure. Mean follow-up times were 3.6 and 3.7 years, respectively. Ten percent of the patients were followed for more than 10 years. Carotid duplex ultrasonography and/or angiography were used to determine patency. Graft occlusion or significant restenosis (>69%) of the carotid artery, and the occurrence of a stroke were determined. Life-table analyses of graft patency, stroke survival were done. Perioperative ipsilateral stroke rates were 0.5% and 2.6% with the vein patch graft and primary closure, respectively (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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