Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
9174591 | Journal of Vascular Surgery | 2005 | 8 Pages |
Abstract
It appears that primary closure is associated with significantly worse perioperative outcomes compared with endarterectomy with patch angioplasty and eversion endarterectomy, even when the preoperative symptom status of the patient cohorts is equivalent. Although some of its advocates have reported that they can properly select appropriate patients for primary closure based on the size of the artery and other factors, the data demonstrate that these patients have poorer outcomes nonetheless. Primary closure during carotid endarterectomy should predominantly be abandoned in favor of either standard endarterectomy with patch angioplasty or eversion endarterectomy.
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Authors
Caron B. MD, Ethan A. MD, Jason J. PhD, Mark R. MD, Stanley MD, Patricia MPH, Thomas S. MD,