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[Comparative study of prosthetic repair of the internal carotid artery and eversion carotid endarterectomy: long-term outcomes].

Angiologiia i sosudistaia khirurgiia = Angiology and vascular surgery·2026
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[Efficacy of using loop endarterectomy].

I S Mukhamadeev1, A A Oborin2

  • 1Department of Cardiovascular Surgery, Perm Regional Clinical Hospital, Perm, Russia.

Angiologiia I Sosudistaia Khirurgiia = Angiology and Vascular Surgery
|April 18, 2019
PubMed
Summary

Loop endarterectomy offers a physiological approach to arterial repair. This review critically examines its benefits, drawbacks, complications, and combined use with stenting, addressing conflicting research findings.

Keywords:
atherosclerosis obliteransendovascular angioplastyfemoropopliteal bypass graftinghybrid operationsloop endarterectomy

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Area of Science:

  • Vascular Surgery
  • Interventional Cardiology

Background:

  • Endarterectomy is a physiological arterial repair method.
  • Loop endarterectomy is a modification aimed at improving outcomes.
  • Conflicting reports exist regarding its efficacy compared to autovenous bypass grafting.

Purpose of the Study:

  • To critically review the literature on loop endarterectomy.
  • To analyze its advantages, disadvantages, and complications.
  • To evaluate the combination of loop endarterectomy with endovascular stenting.

Main Methods:

  • Systematic literature review of studies on loop endarterectomy.
  • Analysis of reported patency rates and complications.
  • Evaluation of combined endarterectomy and stenting procedures.

Main Results:

  • Loop endarterectomy offers a synthetic-material-free repair option.
  • Variable patency rates and complication profiles are reported in the literature.
  • The combination with stenting presents unique challenges and potential benefits.

Conclusions:

  • Loop endarterectomy's effectiveness remains debated.
  • Further research is needed to clarify its optimal application and risk profile.
  • Its combination with stenting requires careful consideration of specific patient factors.