Evidence map›Paper›PMID 35127201›Full record

ArticleSurgical neurology international2022

Comprehensive comparison of carotid endarterectomy primary closure and patch angioplasty: A single-institution experience.

Nirmeen Zagzoog, Ali Elgheriani, Ahmed Attar, Radwan Takroni, Majid Aljoghaiman, Lisa Klotz, Cheyanne Vandervelde, Chloe Darling, Forrough Farrokhyar, Amanda Martyniuk and 1 more

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Surgical neurology international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 45% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 2 countries.

Nirmeen ZagzoogDepartment of Neurosurgery, McMaster University, Hamilton, Ontario, Canada.
Ali ElgherianiDepartment of Internal Medicine, University of Manitoba, Manitoba, Canada.
Ahmed AttarDepartment of Neurology, McMaster University, Hamilton, Canada.
Radwan TakroniDepartment of Neurosurgery, McMaster University, Hamilton, Ontario, Canada.
Majid AljoghaimanDepartment of Neurosurgery, McMaster University, Hamilton, Ontario, Canada.
Lisa KlotzFaculty of Medicine, University of Toronto, Toronto, Canada.
Cheyanne VanderveldeDepartment of Internal Medicine, University of McMaster, Hamilton, Canada.
Chloe DarlingFleming School of Nursing, Trent University, Peterborough, Ontario, Canada.
Forrough FarrokhyarDepartment of Health, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada.
Amanda MartyniukDepartment of Neurosurgery, McMaster University, Hamilton, Ontario, Canada.
Almunder AlgirdDepartment of Neurosurgery, McMaster University, Hamilton, Ontario, Canada.
McMaster University · CATrent University · CAUniversity of Manitoba · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCarotid endarterectomy (CEA) is an effective intervention for the treatment of high-grade carotid stenosis. Technical preferences exist in the operative steps including the use patch for arteriotomy closure. The goals of this study are to compare the rate of postoperative complications and the rate of recurrent stenosis between patients undergoing primary versus patch closure during CEA.

methodsRetrospective chart review was conducted for patients who underwent CEA at single institution. Vascular surgeons mainly performed patch closure technique while neurosurgeons used primary closure. Patients' baseline characteristics as well as intraprocedural data, periprocedural complications, and postprocedural follow-up outcomes were captured.

resultsSeven hundred and thirteen charts were included for review with mean age of 70.5 years (SD = 10.4) and males representing 64.2% of the cohort. About 49% of patients underwent primary closure while 364 (51%) patients underwent patch closure. Severe stenosis was more prevalent in patients receiving patch closure (94.5% vs. 89.4%;

conclusionBoth primary closure and patch closure techniques seem to have similar risk profiles and are equally robust techniques to utilize for CEA procedures.

Indexed as

AtherosclerosisCarotid endarterectomy carotid endarterectomyCarotid stenosisPatchStrokeTIA

Identifiers

PMID35127201
PMCPMC8813614
OpenAlexW4206419240

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.