کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4281727 1611600 2006 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Discretionary carotid patch angioplasty leads to good results
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
پیش نمایش صفحه اول مقاله
Discretionary carotid patch angioplasty leads to good results
چکیده انگلیسی

BackgroundThis study evaluated the type and need for angioplasty in 253 consecutive carotid endarterectomies.MethodsPolyester knitted gelatin sealed patch (DP) and polytetrafluoroethylene (PTFE) patches were used in, respectively, 159 and 29 patients, with 65 vessels closed primarily (no patch [NP]).ResultsSurgical results, estimated blood loss, and surgical time were similar in each group. Postoperative hematomas occurred in 6 DP and 3 NP patients. There were 3 strokes in the DP group. Long-term duplex evaluation was possible in 201 patients. The number of patients who had less than 15%, 15% to 50%, 50% to 79%, 80% to 99%, 100%, or an ungraded degree of narrowing were as follows for each group: DP, 117, 2, 5, 0, 1, and 2; PTFE, 18, 1, 1, 0, 0; and NP, 53, 0, 0, 0, 1. Statistical analysis failed to show any difference between groups postoperatively or in long-term follow-up evaluation.ConclusionsIt appears that selective patching is safe and effective in male patients who undergo carotid endarterectomy. The type of patch material also is inconsequential. Patch type and its use should be at the surgeon’s discretion.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Surgery - Volume 192, Issue 5, November 2006, Pages e46–e50
نویسندگان
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