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Use of the vascu-guard bovine pericardium patch for arteriotomy closure in carotid endarterectomy. Early and long-term results.
Papakostas, John C; Avgos, Stavros; Arnaoutoglou, Eleni; Nassis, Christos; Peroulis, Michalis; Bali, Christina; Papadopoulos, George; Matsagkas, Miltiadis I.
Afiliación
  • Papakostas JC; Department of Surgery-Vascular Surgery Unit, Medical School, University of Ioannina, Ioannina, Greece.
  • Avgos S; Department of Surgery-Vascular Surgery Unit, Medical School, University of Ioannina, Ioannina, Greece.
  • Arnaoutoglou E; Department of Anesthesiology, Medical School, University of Ioannina, Ioannina, Greece.
  • Nassis C; Department of Neurology, Medical School, University of Ioannina, Ioannina, Greece.
  • Peroulis M; Department of Surgery-Vascular Surgery Unit, Medical School, University of Ioannina, Ioannina, Greece.
  • Bali C; Department of Surgery-Vascular Surgery Unit, Medical School, University of Ioannina, Ioannina, Greece.
  • Papadopoulos G; Department of Anesthesiology, Medical School, University of Ioannina, Ioannina, Greece.
  • Matsagkas MI; Department of Surgery-Vascular Surgery Unit, Medical School, University of Ioannina, Ioannina, Greece. Electronic address: milmats@gmail.com.
Ann Vasc Surg ; 28(5): 1213-8, 2014 Jul.
Article en En | MEDLINE | ID: mdl-24370503
BACKGROUND: To report the early and long-term results of Vascu-Guard bovine pericardium (BP) for patch angioplasty in carotid endarterectomy (CEA). METHODS: We retrospectively analyzed the data of 256 CEAs with BP patch closure performed in 238 patients during the past 12 years in our department. Patch-related complications (restenosis, infection, and aneurysm formation) and early and late (12 to 144 months follow-up) clinical outcomes were recorded and statistically analyzed. RESULTS: Thirty-day postoperative stroke rate was 1.2% (3/256) with zero mortality. Major complications occurred in 3.5% (9 of 256) of the procedures and cranial nerve injury in 4.3% (11 of 256). At 12 years, cumulative estimates of freedom from any stroke, stroke-free survival, and freedom from restenosis were 88.4% (standard error [SE]: 3.3%), 60% (SE: 7.8%), and 98.3% (SE: 0.8%), respectively. No patient experienced patch infection or aneurysm formation. CONCLUSIONS: This series shows the efficacy, safety, and durability of CEA with BP patch closure, in both the short and long term. BP combines the advantages of vein and synthetic patches, representing a suitable option when performing CEA.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pericardio / Cuidados Posoperatorios / Complicaciones Posoperatorias / Endarterectomía Carotidea / Estenosis Carotídea / Angioplastia Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies Límite: Aged / Aged80 / Animals / Humans / Male / Middle aged Idioma: En Revista: Ann Vasc Surg Asunto de la revista: ANGIOLOGIA Año: 2014 Tipo del documento: Article País de afiliación: Grecia Pais de publicación: Países Bajos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pericardio / Cuidados Posoperatorios / Complicaciones Posoperatorias / Endarterectomía Carotidea / Estenosis Carotídea / Angioplastia Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies Límite: Aged / Aged80 / Animals / Humans / Male / Middle aged Idioma: En Revista: Ann Vasc Surg Asunto de la revista: ANGIOLOGIA Año: 2014 Tipo del documento: Article País de afiliación: Grecia Pais de publicación: Países Bajos