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Titolo:
Long-term follow-up of saphenous vein, internal jugular vein, and knitted dacron patches for carotid artery endarterectomy
Autore:
Jacobowitz, GR; Kalish, JA; Lee, AM; Adelman, MA; Riles, TS; Landis, R;
Indirizzi:
NYU, Med Ctr, Dept Surg, New York, NY 10016 USA NYU New York NY USA 10016NYU, Med Ctr, Dept Surg, New York, NY 10016 USA
Titolo Testata:
ANNALS OF VASCULAR SURGERY
fascicolo: 3, volume: 15, anno: 2001,
pagine: 281 - 287
SICI:
0890-5096(200105)15:3<281:LFOSVI>2.0.ZU;2-0
Fonte:
ISI
Lingua:
ENG
Soggetto:
PROSPECTIVE RANDOMIZED TRIAL; PRIMARY CLOSURE; ANGIOPLASTY; POLYTETRAFLUOROETHYLENE; STENOSIS; RESTENOSIS; GRAFT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
28
Recensione:
Indirizzi per estratti:
Indirizzo: Jacobowitz, GR Univ Vasc Associates, 530 1st Ave,Suite 6E, New York, NY 10016 USA Univ Vasc Associates 530 1st Ave,Suite 6E New York NY USA 10016
Citazione:
G.R. Jacobowitz et al., "Long-term follow-up of saphenous vein, internal jugular vein, and knitted dacron patches for carotid artery endarterectomy", ANN VASC S, 15(3), 2001, pp. 281-287

Abstract

To determine whether choice of material used for patch closure following carotid artery endarterectomy (CAE) influences rates of early or late restenosis, stroke, and death, 274 consecutive CAEs were retrospectively reviewed. Saphenous vein (SV) was used in 159 (58.0%) procedures; everted, double-thickness jugular vein (JV) was used in 25 (9.1%); and knitted Dacron (KD) was used in 90 (32.9%). Primary closure was not used in this series. There were four perioperative strokes: two (1.3%) in SV, one (4%) in JV, and one (1.1%) in KD (NS). Follow-up was obtained on 263 (96%) operated arteries (mean 41.5 months). Duplex scan results were available for 236 (89.7%) of these arteries (mean follow-up time 33.7 months). There were three (2%) late strokes in SV and two (2.2%) in KD (NS). In long-term follow-up, one patient (0.7%) in SV and two (2.4%) in KD developed >80% stenosis (NS). One patient(0.7%) in SV, one (5.3%) in JV, and one (1.2%) in KD had total occlusion of the operated vessel (NS). Three procedures (2.2%) in SV, 1 (5.3%) in JV, and 7 (8.5%) in KD demonstrated moderate stenosis (50-79%) (NS). Three-yearfollow-up shows that choice of patch material does not affect early or late stroke rate, stroke-related death rate, rate of high-grade (>80%) restenosis, or rate of total occlusion. There is a higher incidence of moderate stenosis in KD. Although our results and a review of the literature do not indicate that these patients are at increased risk for symptoms or progression of stenosis, they should be followed by duplex scanning to ensure that this is the case.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/10/20 alle ore 11:50:59