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Use of a small intestine submucosa extracellular matrix patch in repeated carotid endarterectomy
Nicholas J Madden1, Douglas A Troutman2, Arthur J DeMarsico2
1From the Department of General Surgery at the Philadelphia College of Osteopathic Medicine in Pennsylvania (Dr Madden); the Pennsylvania Vascular Associates in Philadelphia (Dr Troutman); and the Division of Vascular Surgery at the University of Pittsburgh Medical Center Altoona in Pennsylvania (Dr DeMarsico) njmadden@gmail.com.
Various patches have been described in the literature for patients undergoing carotid endarterectomy. In the present report, the authors present the case of a 71-year-old woman who had bilateral carotid endarterectomies 17 years earlier and greater than 80% restenosis of the right internal carotid artery. The patient underwent a repeated right carotid endarterectomy using a small intestine submucosa extracellular matrix patch for closure of the arteriotomy. Given the unique biologic properties of the small intestine submucosa patch and the technical advantages associated with its use for patch angioplasty, further studies to define its efficacy are warranted.
Various patches have been described in the literature for patients undergoing carotid endarterectomy. In the present report, the authors present the case of a 71-year-old woman who had bilateral carotid endarterectomies 17 years earlier and greater than 80% restenosis of the right internal carotid artery. The patient underwent a repeated right carotid endarterectomy using a small intestine submucosa extracellular matrix patch for closure of the arteriotomy. Given the unique biologic properties of the small intestine submucosa patch and the technical advantages associated with its use for patch angioplasty, further studies to define its efficacy are warranted.
