Prospective randomized trial of ACUSEAL (Gore-Tex) vs Finesse (Hemashield) patching during carotid endarterectomy: long-term outcome

Journal of Vascular Surgery
A F AbuRahmaZachary AbuRahma

Abstract

Several studies have reported that carotid endarterectomy with patch angioplasty is superior to primary closure. Conventional polytetrafluoroethylene (Gore-Tex, W. L. Gore & Associates, Flagstaff, Ariz) patching has been shown to have results similar to autogenous saphenous vein patching; however, it requires a longer hemostasis time. This study examined the long-term clinical outcome and incidence of restenosis after carotid endarterectomy using the new ACUSEAL (Gore-Tex) patching vs Hemashield Finesse (Boston Scientific Corp, Natick, Mass) patching. The study randomized 200 patients (1:1) undergoing carotid endarterectomy to 100 with ACUSEAL patching and 100 with Hemashield-Finesse patching. All patients underwent immediate and 1-month postoperative duplex ultrasound studies, which were repeated at 6-month intervals. Kaplan-Meier analysis was used to estimate the freedom from stroke, stroke-free survival, and the risk of restenosis for both groups. The demographic and clinical characteristics, the mean operative diameter of the internal carotid artery, and the length of the arteriotomy were similar in both groups. The mean hemostasis time was 5.1 for the ACUSEAL patching vs 3.7 minutes for Finesse patching (P = .01); however,...Continue Reading

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Citations

Nov 25, 2011·Acta neurochirurgica·Michael ReinertUrs Fischer
Jul 1, 2009·Journal of Vascular Surgery·Akihito MutoAlan Dardik
Jan 5, 2010·Journal of Vascular Surgery·David H StoneUNKNOWN Vascular Study Group of Northern New England
Aug 8, 2009·Journal of Vascular Surgery·Ali F AbuRahma
Jan 11, 2012·Vascular and Endovascular Surgery·Onur GürerÖmer Işık
Mar 20, 2010·The Cochrane Database of Systematic Reviews·Kittipan Rerkasem, Peter M Rothwell
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
Feb 19, 2021·The Cochrane Database of Systematic Reviews·Saritphat OrrapinKittipan Rerkasem
Apr 17, 2021·Journal of Vascular Surgery·Ali F AbuRahma, R Clement Darling
Sep 8, 2019·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Andrew J BatchelderA Ross Naylor
Nov 1, 2020·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·David H StoneSalvatore T Scali

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