Carotid endarterectomy with homologous vein patch angioplasty: A review of 1006 cases Konstadinos A. Plestis, MD, George Kantis, MS, Kenneth Haygood,

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Presentation transcript:

Carotid endarterectomy with homologous vein patch angioplasty: A review of 1006 cases Konstadinos A. Plestis, MD, George Kantis, MS, Kenneth Haygood, MD, Nan Earl, BS, Jimmy F. Howell, MD Journal of Vascular Surgery Volume 24, Issue 1, Pages 109-119 (July 1996) DOI: 10.1016/S0741-5214(96)70151-9 Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Homologous vein patch 14 years after implantation. Inner surface of vein is covered by endothelial cells (arrows; CD-31, immunostain; original magnification, 400x) Journal of Vascular Surgery 1996 24, 109-119DOI: (10.1016/S0741-5214(96)70151-9) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Homologous vein patch 15 years after implantation. Endothelium (E), discrete intima (I), media (M), and adventitia (A). (Hematoxylin and eosin stain; original magnification, 100x.) Journal of Vascular Surgery 1996 24, 109-119DOI: (10.1016/S0741-5214(96)70151-9) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Kaplan-Meier analysis shows overall survival in 482 carotid endarterectomy patients with homologous vein patch angioplasty. Rate of freedom from mortality is 88% + 1.8% at 5 years, and 76% + 3.2% at 10 years. Journal of Vascular Surgery 1996 24, 109-119DOI: (10.1016/S0741-5214(96)70151-9) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Kaplan-Meier analysis shows rate of freedom from late neurologic morbidity in 482 carotid endarterectomy patients with homologous vein patch angioplasty. Rate of freedom from overall neurologic morbidity was 97% + 0.8% at 5 years, and 92% + 2.2% at 10 years. Rate of freedom from ipsilateral neurologic morbidity was 98% + 0.7% at 5 years and 96% + 1.4% at 10 years. Journal of Vascular Surgery 1996 24, 109-119DOI: (10.1016/S0741-5214(96)70151-9) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 5 Kaplan-Meier analysis shows rate of freedom from overall restenosis (≥20% diameter reduction) and significant restenosis (≥50% diameter reduction) in 220 cases of carotid endarterectomy with homologous vein patch angioplasty. Rate of freedom from significant restenosis was 94% + 1.8% at 5 years and 91% + 2.4% at 10 years. Freedom from overall restenosis was 91% + 2.2% at 5 years and 84% + 3.3% at 10 years. Journal of Vascular Surgery 1996 24, 109-119DOI: (10.1016/S0741-5214(96)70151-9) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions