Case-matched comparison of early and long-term outcomes of everted cervical vein and saphenous vein carotid patch angioplasty.
Eur J Vasc Endovasc Surg
; 42(6): 766-74, 2011 Dec.
Article
em En
| MEDLINE
| ID: mdl-21945512
ABSTRACT
OBJECTIVES:
To compare outcomes after carotid endarterectomy (CEA) with saphenous vein patch closure (SV), with cervical vein (external jugular and common facial) patch closure (CV).DESIGN:
A total of 322 cases of CEA was achieved consecutively by using venous patch angioplasty. Propensity scores were calculated followed by a one-to-one basis case-matching. MATERIALS This resulted into 90 SV and 90 CV matched cases.METHODS:
The primary endpoint was the incidence of ipsilateral stroke and transient ischaemic attack at any time during follow-up.RESULTS:
Ten-year freedom from stroke was 94.1% ± 3.5% for the SV group and 90.5% ± 4.2% for the CV group (log rank P = 0.230). Ten-year freedom from ipsilateral neurological events (stroke and transient ischaemic attack) was 93.5% ± 3.3% for SV group and 92.4% ± 3.0% for the CV group (log rank P = 0.403). Ten-year freedom from ≥75% stenosis/occlusion was 93.1 ± 4.8% for the SV group and 89.9 ± 6.0% for the CV group (log rank P = 0.481).CONCLUSIONS:
CV is a good alternative to SV patching, particularly when the SV needs to be preserved for further use or is unsuitable.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Veias
/
Endarterectomia das Carótidas
/
Implante de Prótese Vascular
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Systematic_reviews
Limite:
Aged
/
Female
/
Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Eur J Vasc Endovasc Surg
Assunto da revista:
ANGIOLOGIA
Ano de publicação:
2011
Tipo de documento:
Article
País de afiliação:
Bélgica