Outcome of primary closure following carotid endarterectomy with a novel technique: An 8-year multicenter cohort study

This study evaluated the safety and efficacy of a novel primary closure technique in carotid endarterectomy compared with traditional methods. Conducted over 8 years at three university hospitals, this study included 184 patients. Early complications (8.7%) included hematoma, transient ischemic atta...

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Bibliographic Details
Main Authors: Amir Ahmad Arabzadeh, MD, Mohammadreza Kalantarmotamedi, MD, Babak Sabet, MD, Niki Tadayon, MD
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
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Online Access:http://www.sciencedirect.com/science/article/pii/S2468428724002466
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Summary:This study evaluated the safety and efficacy of a novel primary closure technique in carotid endarterectomy compared with traditional methods. Conducted over 8 years at three university hospitals, this study included 184 patients. Early complications (8.7%) included hematoma, transient ischemic attack, myocardial infarction, stroke, and death. Late complications involved myocardial infarction, death, transient ischemic attack, stroke, and reintervention. The 1-year follow-up showed a significant (>70%) restenosis rate of only 1.9%. The novel technique in carotid endarterectomy seems to be a safe and effective alternative to patch angioplasty, offering advantages for selected patients. Further studies are required.
ISSN:2468-4287