Comparison of the clinical outcomes of primary closure and patch plasty techniques in carotid endarterectomy

• Published in: Çağdaş tıp dergisi Vol. 10; no. 2; pp. 181 - 185
• Main Authors: Bozgüney,Muhammet, Özmen,Rıfat, Eroğlu,Tamer, Tunçay,Aydın, Elçik,Deniz
• Format: Journal Article
• Language: English
• Published: Rabia Yılmaz 01-02-2020
• Subjects: Eğitim Bilimleri; Felsefe & Psikoloji & Sosyoloji; Tıp; Konya; Türkiye; carotid artery stenosis; Carotid endarterectomy; Karotis endarterektomi; mortality; anjiyoplasti; mortalite; angioplasty; karotis arter stenozu
• ISSN: 2667-7180
• DOI: 10.16899/jcm.675512

Background: In this study, patients undergoing carotid
endarterectomy with primary closure or patch angioplasty
for carotid artery disease were evaluated retrospectively and
our early results were presented.
Methods: In our clinic, fifty-five patients who performed
carotid endarterectomy for carotid artery disease between
November 2013 and May 2017 were enrolled in the study.
The files of patients were reviewed retrospectively. These
patients were divided into two groups as Group 1 (primer
closure group, n =32) and Group 2 (patch angioplasty
group, n = 23). Both groups were compared in terms of
demographic data, surgical technique, complications, and
early results.
Results: There were no statistically significant differences
in terms of intensive care unit stay and hospitalization,
postoperative neck hematoma/exploration, postoperative
renal failure, and the other demographic data,
symptomatology, surgical technique, ≥30-day stroke, ≥30-
day restenosis, ≥30-day death between both groups.
Conclusion: Our study results have shown that the closure
of arteriotomy with primary or patch angioplasty after
carotid endarterectomy is a safe method in terms of early
results.