Annals of Vascular Surgery

, Volume 5, Issue 1, pp 71–73 | Cite as

Vein patch rupture after carotid endarterectomy: A survey of the Western Vascular Society members

  • Roy L. TawesJr.
  • Richard L. Treiman
Original Articles


To determine the prevalence, demographics and morbidity of vein patch rupture, the authors polled members of the Western Vascular Society. Forty-eight surgeons (53% of the members) reported an experience with 23,873 carotid operations. A vein patch was used in 1,760 operations (7.4%), and rupture of the patch occurred in 13 patients (0.7%), 10 women and three men. Indications for the patch were a small artery in 10 patients and restenosis in three. Saphenous vein was used for all patches and was harvested from the ankle in 12 patients and from the groin in one patient. All ruptures occurred from a split in the vein patch. Hypertension was present in seven of the 13 patients. None of the ruptures were associated with infection. Two ruptures occurred on the first postoperative day, six on the second day, three on the third day, one on the eighth day, and one on the twenty-first day. Four patients died: airway obstruction (1), hemorrhagic cerebral infarction (1), and myocardial infarction (2) were the causes. Three had a stroke and survived, one had a retinal embolus, and five underwent reoperation without complication. Vein patch of the carotid artery is used infrequently by members of the Western Vascular Society. The incidence of rupture of the patch is low (0.7%), but when it occurs, there is significant mortality (30.7%), and morbidity (30.7%). Patients with a vein patch should be observed in the hospital for three days after endarterectomy because rupture demands immediate reoperation.

Key words

Vein patch angioplasty rupture, vein patch carotid endarterectomy Western Vascular Society vascular surgery 


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  1. 1.
    HERTZER NR, BEVEN EG, O'HARA PJ, et al. A prospective study of vein patch angioplasty during carotid endarterectomy.Ann Surg 1987;206:628–635.PubMedGoogle Scholar
  2. 2.
    HANS SS, GIRISHKUMAR H, HANS B. Vein patch grafts and carotid endarterectomy.Arch Surg 1987;122:1134–1138.PubMedGoogle Scholar
  3. 3.
    ARCHIE JP Jr, GREEN JJ. Saphenous vein rupture pressure, rupture stress and carotid endarterectomy vein patch reconstruction. (In Press).Google Scholar
  4. 4.
    EIKELBOOM BC, ACKERSTAFF RGA, HOENEVELD H, et al. Benefits of carotid patching: a randomized study.J Vasc Surg 1988;7:240–247.PubMedGoogle Scholar
  5. 5.
    RILES TS, LAMPARELLO PJ, GIABGOLA G, et al. Rupture of the vein patch: a rare complication of carotid endarterectomy.Surgery 1990;107:10–12.PubMedGoogle Scholar
  6. 6.
    BERNSTEIN E. (Personal Communication).Ann Surg (In Press).Google Scholar
  7. 7.
    CARNEY WI, LILLY MP. Intraoperative evaluation of PTFE, Dacron and autogenous vein as carotid patch materials.Ann Vasc Surg 1987;1(5):583–586.PubMedGoogle Scholar

Copyright information

© Annals of Vascular Surgery Inc. 1991

Authors and Affiliations

  • Roy L. TawesJr.
    • 1
  • Richard L. Treiman
    • 1
  1. 1.San Mateo

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