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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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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author Amir Ahmad Arabzadeh, MD
Mohammadreza Kalantarmotamedi, MD
Babak Sabet, MD
Niki Tadayon, MD
author_facet Amir Ahmad Arabzadeh, MD
Mohammadreza Kalantarmotamedi, MD
Babak Sabet, MD
Niki Tadayon, MD
author_sort Amir Ahmad Arabzadeh, MD
collection DOAJ
description 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.
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publishDate 2025-02-01
publisher Elsevier
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series Journal of Vascular Surgery Cases and Innovative Techniques
spelling doaj-art-fbaab50d2eb84236907e7682fec2709a2025-01-20T04:17:42ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-02-01111101662Outcome of primary closure following carotid endarterectomy with a novel technique: An 8-year multicenter cohort studyAmir Ahmad Arabzadeh, MD0Mohammadreza Kalantarmotamedi, MD1Babak Sabet, MD2Niki Tadayon, MD3Department of Surgery, School of Medicine, Ardabil University of Medical Sciences, Ardabil, IranDepartment of Surgery, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of Surgery, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of Surgery, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Correspondence: Niki Tadayon, MD, Shohada Tajrish Medical Educational and Treatment Center, Vascular Surgery Department, SBMU, Shahrdari Street, Tajrish Square, 1989934148 Tehran, IranThis 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.http://www.sciencedirect.com/science/article/pii/S2468428724002466Carotid endarterectomy (CEA)Primary closureCarotid artery diseaseStrokeVascular surgery
spellingShingle Amir Ahmad Arabzadeh, MD
Mohammadreza Kalantarmotamedi, MD
Babak Sabet, MD
Niki Tadayon, MD
Outcome of primary closure following carotid endarterectomy with a novel technique: An 8-year multicenter cohort study
Journal of Vascular Surgery Cases and Innovative Techniques
Carotid endarterectomy (CEA)
Primary closure
Carotid artery disease
Stroke
Vascular surgery
title Outcome of primary closure following carotid endarterectomy with a novel technique: An 8-year multicenter cohort study
title_full Outcome of primary closure following carotid endarterectomy with a novel technique: An 8-year multicenter cohort study
title_fullStr Outcome of primary closure following carotid endarterectomy with a novel technique: An 8-year multicenter cohort study
title_full_unstemmed Outcome of primary closure following carotid endarterectomy with a novel technique: An 8-year multicenter cohort study
title_short Outcome of primary closure following carotid endarterectomy with a novel technique: An 8-year multicenter cohort study
title_sort outcome of primary closure following carotid endarterectomy with a novel technique an 8 year multicenter cohort study
topic Carotid endarterectomy (CEA)
Primary closure
Carotid artery disease
Stroke
Vascular surgery
url http://www.sciencedirect.com/science/article/pii/S2468428724002466
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