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Patching plus extended exposure and tacking of the common carotid cuff may reduce the late incidence of recurrent stenosis after carotid endarterectomy 

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Presentation on theme: "Patching plus extended exposure and tacking of the common carotid cuff may reduce the late incidence of recurrent stenosis after carotid endarterectomy "— Presentation transcript:

1 Patching plus extended exposure and tacking of the common carotid cuff may reduce the late incidence of recurrent stenosis after carotid endarterectomy  Norman R. Hertzer, MD, James F. Bena, MS  Journal of Vascular Surgery  Volume 58, Issue 4, Pages e2 (October 2013) DOI: /j.jvs Copyright © 2013 Society for Vascular Surgery Terms and Conditions

2 Fig 1 A, Before the adoption of common carotid cuff precautions in group 3, the intima and media were divided close to the proximal end of the arteriotomy (arrow). B, A digital subtraction angiogram shows severe recurrent stenosis near the carotid cuff (arrow) 6 months after using the technique shown in A. C, In an attempt to prevent recurrent stenosis in group 3, the cuff was fully exposed and secured with tacking sutures (arrow). Journal of Vascular Surgery  , e2DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Eligibility for analysis of recurrent carotid stenosis is shown among the three treatment groups undergoing carotid endarterectomy (CEA) in this study. ICA, Internal carotid artery. Journal of Vascular Surgery  , e2DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Overall influence of patching and patch material on the risks for perioperative stroke and internal carotid artery (ICA) thrombosis for the 1959 operations in this series. Journal of Vascular Surgery  , e2DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions


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