The results of routine primary closure in carotid endarterectomy
| Autor: | A. Anderson, P. R. Taylor, K. B. Modaresi, T. S. Padayachee, A. J. P. Sandison |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Arteriotomy Carotid endarterectomy Natural history of disease Restenosis medicine.artery Female patient medicine Secondary Prevention Humans Radiology Nuclear Medicine and imaging Carotid Stenosis Aged Endarterectomy Carotid business.industry Significant difference Residual stenosis Middle Aged medicine.disease Surgery Treatment Outcome Female Radiology Internal carotid artery Cardiology and Cardiovascular Medicine business Carotid Artery Internal |
| Zdroj: | Cardiovascular surgery (London, England). 7(1) |
| ISSN: | 0967-2109 |
| Popis: | Purpose of study: The aims of this study were to determine the incidence of restenosis following carotid endarterectomy with primary closure of the arteriotomy and to observe the natural history of disease progression in the 1st postoperative year. Methods: The study group consisted of a consecutive series of 126 patients undergoing carotid endarterectomy. Duplex imaging was performed preoperatively and at 8 weeks, 6 months and 1 year postoperatively. Results: Five patients (4%) had a residual stenosis. At 12 months, the overall restenosis rate was 15%: 8.5% for males and 28.9% for females. None of these restenoses were symptomatic. There was no significant difference in the diameter of the internal carotid artery between male and female patients (U=896, P=0.60) and no significant difference in the diameter of the arteries that had restenosed at 12 months and those that had remained patent (U=391, P=0.33). Conclusions: Carotid endarterectomy with primary closure is associated with a low incidence of restenosis in men, but not in women. Criteria for selective patching should consider both gender and vessel calibre. |
| Databáze: | OpenAIRE |
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