Research Article
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Year 2020, , 181 - 185, 25.06.2020
https://doi.org/10.16899/jcm.675512

Abstract

Supporting Institution

Erciyes Üniversitesi

References

  • 1. Hidiroglu M, Cetin L, Kunt A, Karakisi O, Kuecueker A, Sener E. Early results of carotid endarterectomy for carotid artery diseases. Turkish Journal of Thoracic and Cardiovascular Surgery 2010; 18(3):190-195. 2. Barnett HJM, Taylor DW, Haynes RB, Sackett DL, Peerless SJ, Ferguson GG, et al. Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis. N Engl J Med 1991; 325(7):445-453. 3. Eastcott HH, Pickering GW, Rob CG. Reconstruction of internal carotid artery in a patient with intermittent attacks of hemiplegia. Lancet 1954; 267(6846):994-996. 4. Liapis CD, Bell PR, Mikhailidis D, Sivenius J, Nicolaides A, Fernandes e Fernandes J, et al. ESVS guidelines. Invasive treatment for carotid stenosis: indications, techniques. Eur J Vasc Endovasc Surg 2009; 37(4 Suppl):1-19. 5. Muto A, Nishibe T, Dardik H, Dardik A. Patches for carotid artery endarterectomy: current materials and prospects. J Vasc Surg 2009; 50(1):206-213. 6. Bond R, Rerkasem K, Naylor AR, Aburahma AF, Rothwell PM. Systematic review of randomized controlled trials of patch angioplasty versus primary closure and different types of patch materials during carotid endarterectomy. J Vasc Surg 2004; 40(6):1126-1135. 7. Rosenthal D, Archie JP, Jr., Garcia-Rinaldi R, Seagraves MA, Baird DR, McKinsey JF, et al. Carotid patch angioplasty: immediate and long-term results. J Vasc Surg 1990; 12(3):326-333. 8. Barnett HJ, Taylor DW, Eliasziw M, Fox AJ, Ferguson GG, Haynes RB, et al. Benefit of carotid endarterectomy in patients with symptomatic moderate or severe stenosis. North American Symptomatic Carotid Endarterectomy Trial Collaborators. N Engl J Med 1998; 339(20):1415-1425. 9. Melgar MA, Mariwalla N, Madhusudan H, Weinand M. Carotid endarterectomy without shunt: the role of cerebral metabolic protection. Neurol Res 2005; 27(8):850-856. 10. Aboyans V, Ricco J-B, Bartelink M-LEL, Björck M, Brodmann M, Cohnert T, et al. Editor's Choice - 2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS). European Journal of Vascular and Endovascular Surgery 2018; 55(3):305-368. 11. Byrne J, Feustel P, Darling RC, 3rd. Primary closure, routine patching, and eversion endarterectomy: what is the current state of the literature supporting use of these techniques? Semin Vasc Surg 2007; 20(4):226-235. 12. Dirrenberger RA, Sundt TM, Jr.. Carotid endarterectomy. Temporal profile of the healing process and effects of anticoagulation therapy. J Neurosurg 1978; 48(2):201-219. 13. Rerkasem K, Rothwell PM. Patch angioplasty versus primary closure for carotid endarterectomy. Cochrane Database Syst Rev 2009; Issue 4. Art. No:Cd000160. 14. Huizing E, Vos CG, Hulsebos RG, van den Akker PJ, Borst GJ, Unlu C. Patch Angioplasty or Primary Closure Following Carotid Endarterectomy for Symptomatic Carotid Artery Stenosis. Surg J (N Y) 2018; 4(2):e96-e101. 15. Huizing E, Vos CG, van den Akker PJ, Schreve MA, de Borst GJ, Unlu C. A systematic review of patch angioplasty versus primary closure for carotid endarterectomy. J Vasc Surg 2019; 69(6):1962-1974.e1964. 16. Golledge J. Commentary. Carotid artery plaque composition--relationship to clinical presentation and ultrasound B-mode imaging. Eur J Vasc Endovasc Surg 2011; 42 Suppl 1:S39-40. 17. Clagett GP, Patterson CB, Fisher DF, Jr., Fry RE, Eidt JF, Humble TH, et al. Vein patch versus primary closure for carotid endarterectomy. A randomized prospective study in a selected group of patients. J Vasc Surg 1989; 9(2):213-223. 18. Rerkasem K, Rothwell PM. Systematic review of randomized controlled trials of patch angioplasty versus primary closure and different types of patch materials during carotid endarterectomy. Asian J Surg 2011; 34(1):32-40. 19. Li X, Guo Y, Ziegler KR, Model LS, Eghbalieh SD, Brenes RA, et al. Current usage and future directions for the bovine pericardial patch. Ann Vasc Surg 2011; 25(4):561-568. 20. Samson RH, Showalter DP, Yunis JP: Routine carotid endarterectomy without a shunt, even in the presence of a contralateral occlusion. Cardiovasc Surg 1998; 6(5):475-484. 21. Archie JP, Jr. Technique and clinical results of carotid stump back-pressure to determine selective shunting during carotid endarterectomy. J Vasc Surg 1991; 13(2):319-326; discussion 326-317. 22. Calligaro KD, Dougherty MJ. Correlation of carotid artery stump pressure and neurologic changes during 474 carotid endarterectomies performed in awake patients. J Vasc Surg 2005; 42(4):684-689. 23. Biçer M, Davit S, Yanar M, Sığnak IŞ, Mustafa T, Sevingil T, et al. Carotid Endarterectomy With Checking Back Bleeding Under Controlled Hypertension Without Use of Shunting: Experience of A Single Center. Uludağ Üniversitesi Tıp Fakültesi Dergisi 2011; 37(1):1-5. 24. Salasidis GC, Latter DA, Steinmetz OK, Blair JF, Graham AM. Carotid artery duplex scanning in preoperative assessment for coronary artery revascularization: the association between peripheral vascular disease, carotid artery stenosis, and stroke. J Vasc Surg 1995; 21(1):154-160; discussion 161-152. 25. Yıldırım T, Akgün S, Sur H, Kınıkoğlu H, Bilgin F, Arsan S. Short-term results of simultaneous carotid endarterectomy and myocardial revascularization. Turkish Journal of Thoracic and Cardiovascular Surgery 2004; 12(3):156-160.

Compransion Of The Clinical Outcomes Of Primary Closure And Patch Plasty Thecniques In Carotid Endarterectomy

Year 2020, , 181 - 185, 25.06.2020
https://doi.org/10.16899/jcm.675512

Abstract

Background: In this study, patients undergoing carotid endarterectomy with primary closure or patch angioplasty for carotid artery disease were evaluated retrospectively and our early results were presented.
Methods: In our clinic, fifty-five patients who performed carotid endarterectomy for carotid artery disease between November 2013 and May 2017 were enrolled in the study. The files of patients were reviewed retrospectively. These patients were divided into two groups as Group 1 (primer closure group, n =32) and Group 2 (patch angioplasty group, n = 23). Both groups were compared in terms of demographic data, surgical technique, complications and early results.
Results: There were no statistically significant differences in terms of intensive care unit stay and hospitalization, postoperative neck hematoma/exploration, postoperative renal failure and the other demographic data, symptomatology, surgical technique, ≥30-day stroke, ≥30-day restenosis, ≥30-day death between both groups.
Conclusion: Our study results have shown that the closure of arteriotomy with primary or patch angioplasty after carotid endarterectomy is a safe method in terms of early results.

References

  • 1. Hidiroglu M, Cetin L, Kunt A, Karakisi O, Kuecueker A, Sener E. Early results of carotid endarterectomy for carotid artery diseases. Turkish Journal of Thoracic and Cardiovascular Surgery 2010; 18(3):190-195. 2. Barnett HJM, Taylor DW, Haynes RB, Sackett DL, Peerless SJ, Ferguson GG, et al. Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis. N Engl J Med 1991; 325(7):445-453. 3. Eastcott HH, Pickering GW, Rob CG. Reconstruction of internal carotid artery in a patient with intermittent attacks of hemiplegia. Lancet 1954; 267(6846):994-996. 4. Liapis CD, Bell PR, Mikhailidis D, Sivenius J, Nicolaides A, Fernandes e Fernandes J, et al. ESVS guidelines. Invasive treatment for carotid stenosis: indications, techniques. Eur J Vasc Endovasc Surg 2009; 37(4 Suppl):1-19. 5. Muto A, Nishibe T, Dardik H, Dardik A. Patches for carotid artery endarterectomy: current materials and prospects. J Vasc Surg 2009; 50(1):206-213. 6. Bond R, Rerkasem K, Naylor AR, Aburahma AF, Rothwell PM. Systematic review of randomized controlled trials of patch angioplasty versus primary closure and different types of patch materials during carotid endarterectomy. J Vasc Surg 2004; 40(6):1126-1135. 7. Rosenthal D, Archie JP, Jr., Garcia-Rinaldi R, Seagraves MA, Baird DR, McKinsey JF, et al. Carotid patch angioplasty: immediate and long-term results. J Vasc Surg 1990; 12(3):326-333. 8. Barnett HJ, Taylor DW, Eliasziw M, Fox AJ, Ferguson GG, Haynes RB, et al. Benefit of carotid endarterectomy in patients with symptomatic moderate or severe stenosis. North American Symptomatic Carotid Endarterectomy Trial Collaborators. N Engl J Med 1998; 339(20):1415-1425. 9. Melgar MA, Mariwalla N, Madhusudan H, Weinand M. Carotid endarterectomy without shunt: the role of cerebral metabolic protection. Neurol Res 2005; 27(8):850-856. 10. Aboyans V, Ricco J-B, Bartelink M-LEL, Björck M, Brodmann M, Cohnert T, et al. Editor's Choice - 2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS). European Journal of Vascular and Endovascular Surgery 2018; 55(3):305-368. 11. Byrne J, Feustel P, Darling RC, 3rd. Primary closure, routine patching, and eversion endarterectomy: what is the current state of the literature supporting use of these techniques? Semin Vasc Surg 2007; 20(4):226-235. 12. Dirrenberger RA, Sundt TM, Jr.. Carotid endarterectomy. Temporal profile of the healing process and effects of anticoagulation therapy. J Neurosurg 1978; 48(2):201-219. 13. Rerkasem K, Rothwell PM. Patch angioplasty versus primary closure for carotid endarterectomy. Cochrane Database Syst Rev 2009; Issue 4. Art. No:Cd000160. 14. Huizing E, Vos CG, Hulsebos RG, van den Akker PJ, Borst GJ, Unlu C. Patch Angioplasty or Primary Closure Following Carotid Endarterectomy for Symptomatic Carotid Artery Stenosis. Surg J (N Y) 2018; 4(2):e96-e101. 15. Huizing E, Vos CG, van den Akker PJ, Schreve MA, de Borst GJ, Unlu C. A systematic review of patch angioplasty versus primary closure for carotid endarterectomy. J Vasc Surg 2019; 69(6):1962-1974.e1964. 16. Golledge J. Commentary. Carotid artery plaque composition--relationship to clinical presentation and ultrasound B-mode imaging. Eur J Vasc Endovasc Surg 2011; 42 Suppl 1:S39-40. 17. Clagett GP, Patterson CB, Fisher DF, Jr., Fry RE, Eidt JF, Humble TH, et al. Vein patch versus primary closure for carotid endarterectomy. A randomized prospective study in a selected group of patients. J Vasc Surg 1989; 9(2):213-223. 18. Rerkasem K, Rothwell PM. Systematic review of randomized controlled trials of patch angioplasty versus primary closure and different types of patch materials during carotid endarterectomy. Asian J Surg 2011; 34(1):32-40. 19. Li X, Guo Y, Ziegler KR, Model LS, Eghbalieh SD, Brenes RA, et al. Current usage and future directions for the bovine pericardial patch. Ann Vasc Surg 2011; 25(4):561-568. 20. Samson RH, Showalter DP, Yunis JP: Routine carotid endarterectomy without a shunt, even in the presence of a contralateral occlusion. Cardiovasc Surg 1998; 6(5):475-484. 21. Archie JP, Jr. Technique and clinical results of carotid stump back-pressure to determine selective shunting during carotid endarterectomy. J Vasc Surg 1991; 13(2):319-326; discussion 326-317. 22. Calligaro KD, Dougherty MJ. Correlation of carotid artery stump pressure and neurologic changes during 474 carotid endarterectomies performed in awake patients. J Vasc Surg 2005; 42(4):684-689. 23. Biçer M, Davit S, Yanar M, Sığnak IŞ, Mustafa T, Sevingil T, et al. Carotid Endarterectomy With Checking Back Bleeding Under Controlled Hypertension Without Use of Shunting: Experience of A Single Center. Uludağ Üniversitesi Tıp Fakültesi Dergisi 2011; 37(1):1-5. 24. Salasidis GC, Latter DA, Steinmetz OK, Blair JF, Graham AM. Carotid artery duplex scanning in preoperative assessment for coronary artery revascularization: the association between peripheral vascular disease, carotid artery stenosis, and stroke. J Vasc Surg 1995; 21(1):154-160; discussion 161-152. 25. Yıldırım T, Akgün S, Sur H, Kınıkoğlu H, Bilgin F, Arsan S. Short-term results of simultaneous carotid endarterectomy and myocardial revascularization. Turkish Journal of Thoracic and Cardiovascular Surgery 2004; 12(3):156-160.
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Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Research
Authors

Muhammet Bozgüney 0000-0001-5650-8450

Rifat Ozmen This is me 0000-0002-0800-364X

Tamer Eroğlu 0000-0001-9961-0471

Aydın Tuncay 0000-0001-8877-2547

Deniz Elcik 0000-0003-0992-1415

Publication Date June 25, 2020
Acceptance Date May 2, 2020
Published in Issue Year 2020

Cite

AMA Bozgüney M, Ozmen R, Eroğlu T, Tuncay A, Elcik D. Compransion Of The Clinical Outcomes Of Primary Closure And Patch Plasty Thecniques In Carotid Endarterectomy. J Contemp Med. June 2020;10(2):181-185. doi:10.16899/jcm.675512