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Primary Closure After a Carotid Endarterectomy

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Abstract

Purpose

The prevalences of restenosis and stroke after a carotid endarterectomy (CEA) tend to differ substantially according to the surgeon. Primary closure after a CEA was the routine procedure in our institute. The primary objectives of this study were to compare the results of patients of a primary arteriotomy closure in CEA between our own and others' results based on the findings in the literature.

Methods

One hundred and sixty-six patients who underwent a primary closure were analyzed. Perioperative neurologic deficits were determined by the neurologist. Restenosis was defined as >50% stenosis on duplex scan. The range of follow-up was 7–112 months.

Results

Stroke including transient ischemic attack occurred within 30 postoperative days in 3 patients and after 30 postoperative days in 1 of the 166 patients. Five patients showed >50% asymptomatic restenosis. Two patients were treated with stent insertion and one underwent reoperation. One patient showed total occlusion during the follow-up period without any neurological deficits. One patient showed 50%–70% stenosis, and no intervention was done.

Conclusions

The rates of recurrent stenosis and postoperative stroke were found to be sufficiently low following a primary closure to justify the continued use of this technique.

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Authors and Affiliations

  1. Division of Vascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwondong, Kangnamku, Seoul, 135-710, South Korea

    Dong-Ik Kim, Ji-Young Moon, Chul-Hyung Lee, Do-Yool Kim & Young-Sam Jang

  2. Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwondong, Kangnamku, Seoul, 135-710, South Korea

    Gyeong-Moon Kim & Chin-Sang Chung

  3. Samsung Biomedical Research Institute, Seoul, South Korea

    Seon-Woo Kim

Authors
  1. Dong-Ik Kim
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  2. Ji-Young Moon
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  3. Chul-Hyung Lee
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  4. Do-Yool Kim
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  5. Young-Sam Jang
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  6. Gyeong-Moon Kim
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  7. Chin-Sang Chung
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  8. Kwang-Ho Lee
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  9. Seon-Woo Kim
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Kim, DI., Moon, JY., Lee, CH. et al. Primary Closure After a Carotid Endarterectomy. Surg Today 37, 187–191 (2007). https://doi.org/10.1007/s00595-006-3385-4

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  • DOI: https://doi.org/10.1007/s00595-006-3385-4

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