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

[Rationale for using a patch graft in carotid endarterectomy]

G Deriu1, T De Francesco

  • 1Istituto di Chirurgia Vascolare Università degli Studi di Padova.

Annali Italiani Di Chirurgia
|July 1, 1997
PubMed
Summary

Carotid patch angioplasty significantly reduces stroke and neurological complications after carotid endarterectomy compared to primary closure. This technique also decreases restenosis rates, improving long-term outcomes.

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

Unusual inflow sources and device introduction sites in aortic arch debranching.

The Journal of cardiovascular surgery·2012
Same author

[A possible cause of misdiagnosis in tumors of the axilla: schwannoma of the brachial plexus].

Il Giornale di chirurgia·2008
Same author

Do hypertension and diabetes mellitus influence the site of atherosclerotic plaques?

La Clinica terapeutica·2006
Same author

[Effect of roentgen rays on gamets and larval embryos of Paracentrotus lividus Mrtsn].

Rassegna medica sarda·1952
Same author

[Radiological picture of so-called atypical viral pneumonias].

Rassegna medica sarda·1952
Same author

[Ureteral calculosis in abnormalities of the urinary apparatus].

Rassegna medica sarda·1952

Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Neurosurgery

Context:

  • Carotid endarterectomy is a procedure to remove plaque from carotid arteries.
  • Complications such as stroke and restenosis can occur after carotid endarterectomy.
  • Patch angioplasty is a surgical technique used to reconstruct the artery after plaque removal.

Purpose:

  • To evaluate the effectiveness of carotid patch angioplasty versus primary closure in reducing complications after carotid endarterectomy.
  • To assess both early and long-term outcomes, including stroke, neurological complications, and restenosis rates.

Summary:

  • Meta-analysis of 6 randomized trials and personal experience of 850 procedures using PTFE patch angioplasty.
  • Patch angioplasty demonstrated a significant reduction in ipsilateral stroke and neurological relevant complication rate (NRCR) compared to primary closure.
  • Patch angioplasty also significantly reduced restenosis rates (>50%) and maintained larger lumen diameter.

Impact:

  • Carotid patch angioplasty is a clinically and statistically significant method for reducing perioperative and postoperative stroke and NRCR.
  • The technique enhances carotid artery lumen diameter, potentially mitigating risks of myointimal proliferation and atherosclerosis.
  • Improved outcomes suggest patch angioplasty as a preferred method for carotid endarterectomy reconstruction.

Related Experiment Videos