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Original Article

Turk J Vasc Surg. 2019; 28(1): 19-23


Our midterm restenosis results using patch angioplasty closure versus primary closure in patients undergoing carotid endarterectomy: A comparative study

Taner İyigün, Mugisha Kyaruzi, Barış Timur, Müzeyyen İyigün, Ünal Aydın.




Abstract

Objectives: This study aims to compare midterm results of patch angioplasty with primary closure techniques in patients undergoing carotid
endarterectomy (CEA) in terms of restenosis.
Patients and methods: This prospective, single-center, randomized study included a total of 137 patients (42 females, 95 males; mean age
64.4±8.8 years; range 36 to 86 years) who underwent CEA between January 2010 and October 2015. The patients were divided into two
groups: the patch angioplasty group (n=70) and the primary closure group (n=67). The mean follow-up was 2-7 years. Carotid computed
tomography angiography was performed to evaluate restenosis. Restenosis was defined as a lesion of >70% in diameter.
Results: During midterm follow-up, there was no statistically significant difference in the restenosis rate between the two surgical closure
techniques (p=0.729).
Conclusion: Our study results show that the restenosis rate is similar using both closure techniques in patients undergoing CEA.

Key words: : Carotid endarterectomy; computed tomography angiography; patch angioplasty; primary closure; restenosis.






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