Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Turk J Vasc Surg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 2667-4947 E-ISSN 2667-5080

Turkish Journal of Vascular Surgery 2019 , Vol 28 , Issue 1
Our midterm restenosis results using patch angioplasty closure versus primary closure in patients undergoing carotid endarterectomy: A comparative study
Taner İyigün1, Mugisha Kyaruzi1, Barış Timur1, Müzeyyen İyigün2, Ünal Aydın1
1Department of Cardiovascular Surgery, University of Health Sciences, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey
2Department of Anesthesiology and Reanimation, Acıbadem Mehmet Ali Aydınlar University, İstanbul, Turkey
DOI : 10.9739/tjvs.2019.237 Objectives: This study aims to compare midterm results of patch angioplasty with primary closure techniques in patients undergoing carotid endarterectomy (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 age 64.4±8.8 years; range 36 to 86 years) who underwent CEA between January 2010 and October 2015. The patients were divided into two groups: the patch angioplasty group (n=70) and the primary closure group (n=67). The mean follow-up was 2-7 years. Carotid computed tomography 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 closure techniques (p=0.729).

Conclusion: Our study results show that the restenosis rate is similar using both closure techniques in patients undergoing CEA. Keywords : Carotid endarterectomy; computed tomography angiography; patch angioplasty; primary closure; restenosis

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