Jove
Visualize
Contact Us

Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

16
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
16

You might also read

Related Articles

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

Sort by
Same author

A critical analysis of the Carotid Revascularization and Medical Management for Asymptomatic Carotid Stenosis Trial (CREST-2) and the European Carotid Surgery Trial (ECST)-2.

Seminars in vascular surgery·2026
Same author

Optimal treatment of preclinical cardiovascular disease: A narrative review with a focus on carotid artery stenosis.

Seminars in vascular surgery·2026
Same author

Catheter Directed Mechanical Thrombectomy for Intermediate-Risk Acute Pulmonary Embolism: Clinical Outcomes From a Single Center Experience.

Vascular and endovascular surgery·2025
Same author

An international, expert-based, multispecialty Delphi consensus document on stroke risk stratification and the optimal management of patients with asymptomatic and symptomatic carotid stenosis.

Journal of vascular surgery·2025
Same author

Introducing the special issues on consensus in Carotid Disease. Part 1 and Part 2.

International angiology : a journal of the International Union of Angiology·2025
Same author

An algorithmic approach to patient-specific treatment: medical management, carotid endarterectomy, carotid artery stenting and transcarotid artery revascularization.

International angiology : a journal of the International Union of Angiology·2025
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 Video

Updated: Aug 11, 2025

Patch Angioplasty in the Rat Aorta or Inferior Vena Cava
06:04

Patch Angioplasty in the Rat Aorta or Inferior Vena Cava

Published on: February 27, 2017

10.6K

Primary versus patching versus eversion as carotid endarterectomy closure.

Ali F Aburahma1

  • 1Department of Surgery, Faculty of Surgery, West Virginia University, Charleston, WV, USA - ali.aburahma@camc.org.

The Journal of Cardiovascular Surgery
|February 6, 2023
PubMed
Summary

Carotid patching is recommended over primary closure for carotid endarterectomy (CEA), with exceptions for large internal carotid arteries. Eversion CEA shows similar outcomes to patched CEA, with primary closure linked to higher restenosis rates.

More Related Videos

Optimization of the Longa Middle Cerebral Artery Occlusion Method for Complete Reperfusion
13:18

Optimization of the Longa Middle Cerebral Artery Occlusion Method for Complete Reperfusion

Published on: November 22, 2024

1.1K
Vessel-sparing Excision and Primary Anastomosis
08:09

Vessel-sparing Excision and Primary Anastomosis

Published on: January 7, 2019

11.5K

Related Experiment Videos

Last Updated: Aug 11, 2025

Patch Angioplasty in the Rat Aorta or Inferior Vena Cava
06:04

Patch Angioplasty in the Rat Aorta or Inferior Vena Cava

Published on: February 27, 2017

10.6K
Optimization of the Longa Middle Cerebral Artery Occlusion Method for Complete Reperfusion
13:18

Optimization of the Longa Middle Cerebral Artery Occlusion Method for Complete Reperfusion

Published on: November 22, 2024

1.1K
Vessel-sparing Excision and Primary Anastomosis
08:09

Vessel-sparing Excision and Primary Anastomosis

Published on: January 7, 2019

11.5K

Area of Science:

  • Vascular Surgery
  • Surgical Techniques
  • Evidence-Based Medicine

Background:

  • The optimal closure method following carotid endarterectomy (CEA) remains debated.
  • Comparing patching, primary closure, and eversion techniques is crucial for patient outcomes.

Approach:

  • A comprehensive PubMed literature review was performed, focusing on randomized controlled trials, meta-analyses, and large cohort studies.
  • Data spanning four decades were analyzed to compare different CEA closure strategies.

Key Points:

  • Routine carotid patching is superior to primary closure (Level 1 evidence).
  • Primary closure may be suitable for internal carotid arteries larger than 6 mm.
  • Eversion CEA and conventional CEA with patching show comparable stroke/death and restenosis rates.
  • No significant differences exist among various patch materials.
  • CEA with primary closure is associated with higher late restenosis rates.

Conclusions:

  • Carotid patching or eversion techniques are recommended over primary closure for CEA.
  • The choice of patch material does not significantly impact outcomes.