Retrojugular approach for carotid endarterectomy: a prospective cohort study

Journal of Vascular Surgery
H A SafarC S Cinà

Abstract

The purpose of this study was the examination of the feasibility of the retrojugular approach for carotid endarterectomy and the investigation of its safety and effectiveness. A consecutive prospective cohort of 43 patients who underwent carotid endarterectomy with the retrojugular approach was compared with a retrospective cohort of 43 patients who underwent surgery with the standard antejugular technique. Age, sex, comorbidity, diagnostic investigations, and indications for surgery were comparable in both groups. In the retrojugular group, a carotid shunt was used in 18 patients (42%) and a patch closure in 15 patients (35%), and in the antejugular group, a carotid shunt was used in 43 patients (100%) and a patch closure in 20 patients (47%). There were no perioperative deaths, strokes, nerve injuries, or 30-day postoperative neurologic events. Wound hematomas were equally distributed in both groups (5%). Transient hoarseness was present in two patients in the antejugular group. The mean operative time was 72 +/- 15 minutes for the retrojugular technique and 100 +/- 27 for the antejugular technique (P <.0001). The hospital stay was 2 +/- 1 days in both groups. In conclusion, the retrojugular approach appears to be safe and th...Continue Reading

References

Jan 1, 1984·Stroke; a Journal of Cerebral Circulation·E W MasseyJ Fuchs
Jul 20, 2001·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A J McClearyM J Gough

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Citations

Dec 27, 2011·Journal of Neurosurgery·Tetsuo SasakiKazuhiro Hongo
Feb 2, 2008·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A StehrP M Kasprzak
Sep 27, 2003·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·E NeriC Setacci
May 10, 2005·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·N J MenonG Hamilton
Apr 26, 2011·Journal of Vascular Surgery·Virendra I PatelRichard P Cambria
Jul 28, 2009·Journal of Vascular Surgery·Chris J CoroneosClaudio S Cinà
Sep 24, 2014·Expert Review of Neurotherapeutics·John Ih LeeRüdiger J Seitz
May 2, 2014·Annals of the Royal College of Surgeons of England·G A AntoniouF Serracino-Inglott
Oct 3, 2008·Annals of the Royal College of Surgeons of England·William D Beasley, Christopher P Gibbons

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