Five-year outcome of non-shunting and primary closure technique during carotid endarterectomy: a longitudinal cohort study.

J Int Med Res

Cardiovascular Surgeon, Slemani Center for Heart Disease, Slemani Directorate of Health, Ministry of Health, Kurdistan Regional Government.

Published: April 2022

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.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9016544PMC
http://dx.doi.org/10.1177/03000605221076925DOI Listing

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