ArticleThe Journal of international medical research2022
Five-year outcome of non-shunting and primary closure technique during carotid endarterectomy: a longitudinal cohort study.
Article in The Journal of international medical research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed, 5 citations in OpenAlex.
- Comparison of carotid endarterectomy with primary closure versus patch angioplasty.BMC surgery · 2026Article
- Evaluation of mid- and long-term outcomes following carotid endarterectomy with a double-layer primary arteriotomy closure technique.Turk gogus kalp damar cerrahisi dergisi · 2025Article
- Surgical outcomes for carotid body tumour resection without preoperative embolization: a 10-year experience.Annals of medicine and surgery (2012) · 2024Article
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe long-term outcomes of primary carotid artery closure after carotid endarterectomy (CEA) have not been sufficiently studied. This prospective study was performed to analyze the 5-year outcomes of the non-shunting and primary arterial repair technique for CEA.
methodsThis study involved 150 patients who underwent CEA with the primary arterial closure technique without arterial shunting and completed 5 years of follow-up.
resultsThe patients comprised 107 men and 43 women. The 30-day postoperative course was uneventful in 147 (98.0%) patients; however, cerebrovascular accidents occurred in 3 (2.0%) patients. With respect to the long-term results, most cases of restenosis at 5 years were <50%. Two patients developed asymptomatic total internal carotid artery occlusion. Eleven deaths occurred (mortality rate of 7.3%); one death (0.7%) occurred in the first 30 days.
conclusionPrimary arteriotomy closure provides very good long-term patency. Routine use of patch closure is unnecessary.
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