A systematic review of patch angioplasty versus primary closure for carotid endarterectomy

Guidelines recommend routine patching after carotid endarterectomy (CEA) on the basis of a lower restenosis rate and presumed lower procedural stroke rate than with primary repair. Underlying evidence is based on studies performed decades ago with perioperative care that significantly differed from current standards. Recent studies raise doubt about routine patching and have suggested that a more selective approach to patch closure (PAC) might be noninferior for procedural safety and long-term stroke prevention.

Source: Journal of Vascular Surgery - February 18, 2019 Category: Surgery Authors: Eline Huizing, Cornelis G. Vos, Peter J. van den Akker, Michiel A. Schreve, Gert J. de Borst, Çağdaş Ünlü Source Type: research