Five-year outcome of non-shunting and primary closure technique during carotid endarterectomy: a longitudinal cohort study
Objective The long-term outcomes of primary carotid artery closure after carotid endarterectomy (CEA) have not been sufficiently studied. This prospective study was performed to analyze the 5-year outcomes of the non-shunting and primary arterial repair technique for CEA. Methods This study involved...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2022-04-01
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| Series: | Journal of International Medical Research |
| Online Access: | https://doi.org/10.1177/03000605221076925 |
| _version_ | 1828407652938416128 |
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| author | Aram Baram Zana A. Mohammed Sarwer Jamal Al-Bajalan Fitoon Falah |
| author_facet | Aram Baram Zana A. Mohammed Sarwer Jamal Al-Bajalan Fitoon Falah |
| author_sort | Aram Baram |
| collection | DOAJ |
| description | Objective The long-term outcomes of primary carotid artery closure after carotid endarterectomy (CEA) have not been sufficiently studied. This prospective study was performed to analyze the 5-year outcomes of the non-shunting and primary arterial repair technique for CEA. Methods This study involved 150 patients who underwent CEA with the primary arterial closure technique without arterial shunting and completed 5 years of follow-up. Results The patients comprised 107 men and 43 women. The 30-day postoperative course was uneventful in 147 (98.0%) patients; however, cerebrovascular accidents occurred in 3 (2.0%) patients. With respect to the long-term results, most cases of restenosis at 5 years were <50%. Two patients developed asymptomatic total internal carotid artery occlusion. Eleven deaths occurred (mortality rate of 7.3%); one death (0.7%) occurred in the first 30 days. Conclusion Primary arteriotomy closure provides very good long-term patency. Routine use of patch closure is unnecessary. |
| first_indexed | 2024-12-10T11:27:41Z |
| format | Article |
| id | doaj.art-5accff77c7d646339473a9506d61704d |
| institution | Directory Open Access Journal |
| issn | 1473-2300 |
| language | English |
| last_indexed | 2024-12-10T11:27:41Z |
| publishDate | 2022-04-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of International Medical Research |
| spelling | doaj.art-5accff77c7d646339473a9506d61704d2022-12-22T01:50:41ZengSAGE PublishingJournal of International Medical Research1473-23002022-04-015010.1177/03000605221076925Five-year outcome of non-shunting and primary closure technique during carotid endarterectomy: a longitudinal cohort studyAram BaramZana A. MohammedSarwer Jamal Al-BajalanFitoon FalahObjective The long-term outcomes of primary carotid artery closure after carotid endarterectomy (CEA) have not been sufficiently studied. This prospective study was performed to analyze the 5-year outcomes of the non-shunting and primary arterial repair technique for CEA. Methods This study involved 150 patients who underwent CEA with the primary arterial closure technique without arterial shunting and completed 5 years of follow-up. Results The patients comprised 107 men and 43 women. The 30-day postoperative course was uneventful in 147 (98.0%) patients; however, cerebrovascular accidents occurred in 3 (2.0%) patients. With respect to the long-term results, most cases of restenosis at 5 years were <50%. Two patients developed asymptomatic total internal carotid artery occlusion. Eleven deaths occurred (mortality rate of 7.3%); one death (0.7%) occurred in the first 30 days. Conclusion Primary arteriotomy closure provides very good long-term patency. Routine use of patch closure is unnecessary.https://doi.org/10.1177/03000605221076925 |
| spellingShingle | Aram Baram Zana A. Mohammed Sarwer Jamal Al-Bajalan Fitoon Falah Five-year outcome of non-shunting and primary closure technique during carotid endarterectomy: a longitudinal cohort study Journal of International Medical Research |
| title | Five-year outcome of non-shunting and primary closure technique during carotid endarterectomy: a longitudinal cohort study |
| title_full | Five-year outcome of non-shunting and primary closure technique during carotid endarterectomy: a longitudinal cohort study |
| title_fullStr | Five-year outcome of non-shunting and primary closure technique during carotid endarterectomy: a longitudinal cohort study |
| title_full_unstemmed | Five-year outcome of non-shunting and primary closure technique during carotid endarterectomy: a longitudinal cohort study |
| title_short | Five-year outcome of non-shunting and primary closure technique during carotid endarterectomy: a longitudinal cohort study |
| title_sort | five year outcome of non shunting and primary closure technique during carotid endarterectomy a longitudinal cohort study |
| url | https://doi.org/10.1177/03000605221076925 |
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