Patching plus extended exposure and tacking of the common carotid cuff may reduce the late incidence of recurrent stenosis after carotid endarterectomy

• Published in: Journal of vascular surgery Vol. 58; no. 4; pp. 926 - 934.e2
• Main Authors: Hertzer, Norman R., MD, Bena, James F., MS
• Format: Journal Article
• Language: English
• Published: United States Mosby, Inc 01.10.2013
• Subjects: Adult; Aged; Aged, 80 and over; Angiography, Digital Subtraction; Carotid Artery, Common - diagnostic imaging; Carotid Artery, Common - surgery; Carotid Stenosis - complications; Carotid Stenosis - diagnosis; Carotid Stenosis - surgery; Endarterectomy, Carotid - adverse effects; Endarterectomy, Carotid - methods; Female; Humans; Logistic Models; Male; Middle Aged; Multivariate Analysis; Odds Ratio; Ohio; Retrospective Studies; Risk Factors; Secondary Prevention; Stroke - etiology; Stroke - prevention & control; Surgery; Suture Techniques - adverse effects; Thrombosis - etiology; Thrombosis - prevention & control; Time Factors; Treatment Outcome

Objective The safety and durability of carotid endarterectomy (CEA) require attention to certain technical details that may evolve over time. The objective of this study was to determine whether routine patch angioplasty and precautions related to the common carotid cuff could reduce the risks for p...