作者
Mahmoud Malas, Natalia O Glebova, Susan E Hughes, Jenifer H Voeks, Umair Qazi, Wesley S Moore, Brajesh K Lal, George Howard, Rafael Llinas, Thomas G Brott
发表日期
2015/3
期刊
Stroke
卷号
46
期号
3
页码范围
757-761
出版商
Lippincott Williams & Wilkins
简介
Background and Purpose
The purpose is to determine whether patching during carotid endarterectomy (CEA) affects the perioperative and long-term risks of restenosis, stroke, death, and myocardial infarction as compared with primary closure.
Methods
We identified all patients who were randomized and underwent CEA in Carotid Revascularization Endarterectomy versus Stenting Trial. CEA patients who received a patch were compared with patients who underwent CEA with primary closure without a patch. We compared periprocedural and 4-year event rates, 2-year restenosis rates, and rates of reoperation between the 2 groups. We further analyzed results by surgeon specialty.
Results
There were 1151 patients who underwent CEA (753 [65%] with patch and 329 [29%] with primary closure). We excluded 44 patients who underwent eversion CEA and 25 patients missing CEA data (5%). Patch use differed by …
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M Malas, NO Glebova, SE Hughes, JH Voeks, U Qazi… - Stroke, 2015