Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Restenosis after eversion vs patch closure carotid endarterectomy.

Robert S Crawford1, Thomas K Chung, Thomas Hodgman

  • 1Division of Vascular and Endovascular Surgery of the General Surgical Services, Massachusetts General Hospital and Harvard Medical School, 15 Parkman Street, Boston, MA 02114, USA.

Journal of Vascular Surgery
|July 4, 2007
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

A Multicenter Clinical Trial on the Five-Year Outcomes Following Treatment of Acute, Complicated Type B Aortic Dissection With a Conformable Stent Graft.

Annals of vascular surgery·2024
Same author

An international, multispecialty, expert-based Delphi Consensus document on controversial issues in the management of patients with asymptomatic and symptomatic carotid stenosis.

Journal of vascular surgery·2023
Same author

Best Medical Treatment Alone Is Adequate for the Management of All Patients With Asymptomatic Carotid Stenosis, or "Alice in Wonderland".

Angiology·2023
Same author

Impact of thoracic endovascular aortic repair timing on outcomes after uncomplicated type B aortic dissection in the Society for Vascular Surgery Vascular Quality Initiative postapproval project for dissection.

Journal of vascular surgery·2023
Same author

Comparison of Recent Practice Guidelines for the Management of Patients With Asymptomatic Carotid Stenosis.

Angiology·2022
Same author

Balloon dilation strategy does not affect outcomes for transcarotid artery revascularization in prospective trials.

Journal of vascular surgery·2022

Recurrent stenosis after carotid endarterectomy (CEA) is a limitation. Eversion CEA (EV) and patch closure (PC) showed similar restenosis rates, suggesting biological factors, not technique, influence recurrence. EV adoption for lower restenosis is not warranted.

Area of Science:

  • Vascular Surgery
  • Cardiovascular Research

Background:

  • Recurrent stenosis after carotid endarterectomy (CEA) limits its long-term efficacy.
  • Eversion endarterectomy (EV) is perceived to have lower restenosis rates than patch closure (PC), but evidence is conflicting.

Purpose of the Study:

  • To compare the late anatomic results of patch closure (PC) versus eversion CEA (EV).

Main Methods:

  • A retrospective study of 950 CEAs performed between 1995 and 2005.
  • 155 PC and 135 EV patients with at least 1-year follow-up were analyzed.
  • Incidence of moderate (50-70%) and severe (>70%) restenosis, late stroke, survival, and reintervention rates were assessed.

Main Results:

  • No significant differences in demographic/clinical parameters or perioperative outcomes between PC and EV.

Related Experiment Videos

  • Actuarial analysis revealed no significant difference in late moderate or severe restenosis rates between PC and EV.
  • Female gender was associated with increased risk of severe restenosis and late stroke, irrespective of surgical technique.

    • Conclusions:

    • Restenosis rates after CEA are similar between eversion and patch closure techniques.
    • Restenosis appears to be a biological remodeling phenomenon rather than a result of technical variations.
    • Adopting eversion CEA solely to decrease restenosis is not supported by these findings.