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
References
May 1, 1992·Annals of Vascular Surgery·M PatelM Walker
Mar 1, 1990·Annals of Vascular Surgery·K R DuranteM W Walker
May 1, 1990·Annals of Vascular Surgery·D R LeGrand, R L Linehan
Sep 1, 1990·Journal of Vascular Surgery·D RosenthalT Whitehead
Feb 1, 1989·Journal of Vascular Surgery·T W WakefieldJ C Stanley
Sep 1, 1986·Stroke; a Journal of Cerebral Circulation·J P Archie
Nov 1, 1984·Stroke; a Journal of Cerebral Circulation·G P DeriuA Saia
Jan 1, 1995·Annals of Vascular Surgery·K A GoldmanR Landis
Jul 1, 1995·Annals of Vascular Surgery·N HayashidaL R Sauvage
Mar 1, 1996·Surgery·S G Katz, R D Kohl
Dec 1, 1996·Journal of Vascular Surgery·A F AbuRahmaY Conley
Apr 1, 1997·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·C E CounsellC P Warlow
Aug 1, 1997·American Journal of Surgery·P J AllenD L Gillespie
Mar 24, 1998·Journal of Vascular Surgery·A F AbuRahmaJ P Boland
Jul 24, 1998·Annals of Vascular Surgery·A F AbuRahmaL Young
Feb 7, 2001·Journal of Vascular Surgery·J P Archie
May 2, 2001·Journal of Vascular Surgery·P D HayesA R Naylor
Jan 22, 2002·Journal of Vascular Surgery·James M Edwards
Sep 23, 2003·Radiology·Edward G GrantR Eugene Zierler
Dec 29, 2004·Journal of Vascular Surgery·R BondP M Rothwell
May 12, 2005·Journal of Vascular Surgery·Ali F AbuRahmaWilliam Perry
May 1, 2007·Journal of Vascular Surgery·Ali F AbuRahmaZachary AbuRahma
Citations
Nov 25, 2011·Acta neurochirurgica·Michael ReinertUrs Fischer
Jul 1, 2009·Journal of Vascular Surgery·Akihito MutoAlan Dardik
Jul 28, 2009·Journal of Vascular Surgery·Ali F AbuRahmaEmily Deem
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
Apr 15, 2011·Vascular·Ali F Aburahma
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
Mar 10, 2021·The Journal of Vascular Access·Takeshi BabaKota Shukuzawa
Apr 17, 2021·Journal of Vascular Surgery·Ali F AbuRahma, R Clement Darling
Jun 22, 2021·Journal of Vascular Surgery·Ali F AbuRahmaWei Zhou
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