A systematic review of patch angioplasty versus primary closure for carotid endarterectomy

Journal of Vascular Surgery
Eline HuizingÇağdaş Ünlü

Abstract

Guidelines recommend routine patching after carotid endarterectomy (CEA) on the basis of a lower restenosis rate and presumed lower procedural stroke rate than with primary repair. Underlying evidence is based on studies performed decades ago with perioperative care that significantly differed from current standards. Recent studies raise doubt about routine patching and have suggested that a more selective approach to patch closure (PAC) might be noninferior for procedural safety and long-term stroke prevention. The objective was to review the literature on the procedural safety and perioperative stroke prevention of PAC compared with primary closure (PRC) after CEA. MEDLINE, Embase, and Cochrane Central Register of Controlled Trials databases were searched from January 1966 to September 2017. Two authors independently performed the search, study selection, assessment of methodologic quality, and data extraction. Articles were eligible if they compared PAC and PRC after CEA, were published in English, included human studies, and had a full text available. Methodologic quality for nonrandomized studies was assessed using the Methodological Index for Non-Randomized Studies score; randomized controlled trials were assessed using G...Continue Reading

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Citations

May 29, 2020·World Journal of Surgery·Petroula NanaAthanasios Giannoukas
Jan 19, 2021·Vascular and Endovascular Surgery·Stavros K KakkosIoannis Tsolakis
Dec 2, 2020·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Miltos K LazaridesGeorge S Georgiadis
Mar 2, 2021·Frontiers in Cardiovascular Medicine·Keith B AllenParvez K Sultan
Apr 17, 2021·Journal of Vascular Surgery·Ali F AbuRahma, R Clement Darling
Aug 26, 2019·Journal of Vascular Surgery·Kosmas I Paraskevas

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