Our midterm restenosis results using patch angioplasty closure versus primary closure in patients undergoing carotid endarterectomy: A comparative study


İYİGÜN T., KYARUZİ M., TİMUR B., İYİGÜN M., AYDIN Ü.

Turkish journal of vascular surgery, vol.28, no.1, pp.19-23, 2019 (Peer-Reviewed Journal) identifier

  • Publication Type: Article / Article
  • Volume: 28 Issue: 1
  • Publication Date: 2019
  • Doi Number: 10.9739/tjvs.2019.237
  • Journal Name: Turkish journal of vascular surgery
  • Journal Indexes: TR DİZİN (ULAKBİM)
  • Page Numbers: pp.19-23
  • Acibadem Mehmet Ali Aydinlar University Affiliated: Yes

Abstract

Objectives: This study aims to compare midterm results of patch angioplasty with primary closure techniques in patients undergoing carotidendarterectomy (CEA) in terms of restenosis.Patients and methods: This prospective, single-center, randomized study included a total of 137 patients (42 females, 95 males; mean age64.4±8.8 years; range 36 to 86 years) who underwent CEA between January 2010 and October 2015. The patients were divided into twogroups: the patch angioplasty group (n=70) and the primary closure group (n=67). The mean follow-up was 2-7 years. Carotid computedtomography angiography was performed to evaluate restenosis. Restenosis was defined as a lesion of >70% in diameter.Results: During midterm follow-up, there was no statistically significant difference in the restenosis rate between the two surgical closuretechniques (p=0.729).Conclusion: Our study results show that the restenosis rate is similar using both closure techniques in patients undergoing CEA.