Effect of patching on reducing restenosis in the carotid revascularization endarterectomy versus stenting trial.

ABSTRACT:

Background and purpose

The purpose is to determine whether patching during carotid endarterectomy (CEA) affects the perioperative and long-term risks of restenosis, stroke, death, and myocardial infarction as compared with primary closure.

Methods

We identified all patients who were randomized and underwent CEA in Carotid Revascularization Endarterectomy versus Stenting Trial. CEA patients who received a patch were compared with patients who underwent CEA with primary closure without a patch. We compared periprocedural and 4-year event rates, 2-year restenosis rates, and rates of reoperation between the 2 groups. We further analyzed results by surgeon specialty.

Results

There were 1151 patients who underwent CEA (753 [65%] with patch and 329 [29%] with primary closure

SUBMITTER: Malas M 

PROVIDER: S-EPMC4586019 | biostudies-literature | 2015 Mar

REPOSITORIES: biostudies-literature