Cargando…
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 involv...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9016544/ https://www.ncbi.nlm.nih.gov/pubmed/35422155 http://dx.doi.org/10.1177/03000605221076925 |
_version_ | 1784688550880477184 |
---|---|
author | Baram, Aram Mohammed, Zana A. Al-Bajalan, Sarwer Jamal Falah, Fitoon |
author_facet | Baram, Aram Mohammed, Zana A. Al-Bajalan, Sarwer Jamal Falah, Fitoon |
author_sort | Baram, Aram |
collection | PubMed |
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. |
format | Online Article Text |
id | pubmed-9016544 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-90165442022-04-20 Five-year outcome of non-shunting and primary closure technique during carotid endarterectomy: a longitudinal cohort study Baram, Aram Mohammed, Zana A. Al-Bajalan, Sarwer Jamal Falah, Fitoon J Int Med Res Prospective Clinical Research Report 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. SAGE Publications 2022-04-14 /pmc/articles/PMC9016544/ /pubmed/35422155 http://dx.doi.org/10.1177/03000605221076925 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Prospective Clinical Research Report Baram, Aram Mohammed, Zana A. Al-Bajalan, Sarwer Jamal Falah, Fitoon Five-year outcome of non-shunting and primary closure technique during carotid endarterectomy: a longitudinal cohort study |
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 |
topic | Prospective Clinical Research Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9016544/ https://www.ncbi.nlm.nih.gov/pubmed/35422155 http://dx.doi.org/10.1177/03000605221076925 |
work_keys_str_mv | AT baramaram fiveyearoutcomeofnonshuntingandprimaryclosuretechniqueduringcarotidendarterectomyalongitudinalcohortstudy AT mohammedzanaa fiveyearoutcomeofnonshuntingandprimaryclosuretechniqueduringcarotidendarterectomyalongitudinalcohortstudy AT albajalansarwerjamal fiveyearoutcomeofnonshuntingandprimaryclosuretechniqueduringcarotidendarterectomyalongitudinalcohortstudy AT falahfitoon fiveyearoutcomeofnonshuntingandprimaryclosuretechniqueduringcarotidendarterectomyalongitudinalcohortstudy |