ArticleJournal of vascular surgery cases and innovative techniques2026
Reinforced double-layer vein patch angioplasty in carotid endarterectomy to mitigate patch aneurysm.
Article in Journal of vascular surgery cases and innovative techniques, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Carotid endarterectomy with patch angioplasty is standard for symptomatic carotid stenosis. However, prosthetic patches carry a risk of infection, particularly in patients with recent endocarditis. We report the case of a 67-year-old man who presented with central retinal artery occlusion and active mitral valve vegetation and subsequently underwent left carotid endarterectomy using a dual-layer facial vein patch. The harvested facial vein was everted to create a reinforced, double-layered conduit that was used for patch angioplasty, thereby avoiding prosthetic material. The patient awoke neurologically intact and 1-month duplex ultrasound demonstrated no residual stenosis or aneurysmal degeneration. Dual-layer everted cervical vein patches may provide a safe and durable autologous option in high-risk infectious settings.
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