Naslov
Carotid endarterectomy - primary closure versus patch angioplasty

Autori
Meštrović, Tomislav ; Petrunić, Mladen

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
3rd Central European Congress of Surgery, Norman Barrett Symposium & 5th Croatian Congress of Surgery with International Participation : abstracts ; u European surgery 42 (2010) (S235) / Župančić, Božidar - Beč : Springer, 2010, 92-93

Skup
Central European Congress of surgery (3 ; 2010)

Mjesto i datum
Dubrovnik, Hrvatska, 28.04.2010. - 02.05.2010

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
carotid endarterectomy; primary closure

Sažetak
Background. Carotid endarterectomy is one of the most frequently performed, as well as one of the most studied vascular surgical procedures. Its efficacy in stroke prevention was proven to be superior to conservative therapy for established indications by prospective multicentric randomized trials. However, recurrent stenosis has been noted in a significant number of patients, and according to the published data, it has been related to the surgical technique. Conventional carotid endarterectomy can be performed with or without patch closure. Although there is evidence to support the routine use of carotid patching, it is still employed selectively in many centers. Our objective was to review the recent data comparing the primary and the patch closure, to clarify the significance of carotid patching and make a review of the current state-of-the-art. Methods. A literature review was performed by searching the MedLine, CurrentContents and Cochrane databases for randomized controlled trials, systematic reviews and meta-analyses concerning the comparison between primary closure and patch angioplasty after carotid endarterectomy. Results. The results of most studies show that, although clamping time is significantly shorter with primary closure, patch angioplasty decreases the risk of recurrent stenosis, as well as of perioperative stroke or death. Furthermore, regression of postoperative stenosis is more strongly associated with patching than with primary closure. Conclusions. While primary closure may be acceptable in selected patients, data from recent studies support the routine

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA