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LONG-TERM OUTCOMES OF ENDARTERECTOMY USING VASCULAR PATCH TO TREAT CAROTID ARTERY STENOSIS
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Abstract
Background: There are still few studies on the long-term outcome of endarterectomy using vascular patch to treat carotid artery stenosis. Objective: Evaluation of long-term outcome of carotid endarterectomy using vascular patch to treat carotid artery stenosis. Subjects and Methods: A retrospective descriptive case series was conducted from March 1, 2012 to December 30, 2023 at the Vascular Surgery Department of Cho Ray Hospital. Results: During the period from 2012 to 2023, we performed 46 cases of endarterectomy with vascular patch with long-term follow-up. The mean age was 69.6 (58-82). The male/female ratio was 6.7/1. 87% of patients had symptoms of carotid artery stenosis at admission. Most patients received general anesthesia (89.1%) and carotid artery shunt (91.3%) during surgery. All patients received vascular patches made of bovine pericardial material. The mean long-term follow-up time was 46 ± 9.8 months. There was 1 case (2.2%) of carotid artery restenosis, no cases of myocardial infarction (MI), cerebrovascular accident (CVA), or death were recorded during long-term follow-up. Conclusion: Treatment of carotid artery stenosis by endarterectomy in a group of patients with high-risk factors. has good mid-term results and should be considered in experienced centers.
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Keywords
carotid endarterectomy, vascular
References
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