Results of Carotid Endarterectomy with Bovine Pericardium patch angioplasty: A 5 years Single Institution Experience

2018 ◽  
Vol 47 ◽  
pp. 11
Author(s):  
Morris Sasson ◽  
Rajmohan Rammohan ◽  
Nisha Dhanabalsamy ◽  
Terry King ◽  
Mark Grove
Keyword(s):  
Carotid Endarterectomy ◽  
Bovine Pericardium ◽  
Single Institution ◽  
Patch Angioplasty

Carotid Endarterectomy with Bovine Pericardium Patch Angioplasty: Mid-Term Results

2006 ◽  
Vol 20 (5) ◽  
pp. 614-619 ◽  
Author(s):  
Miltiadis I. Matsagas ◽  
EBSQ-Vasc ◽  
Christina Bali ◽  
Elena Arnaoutoglou ◽  
John C. Papakostas ◽  
...  
Keyword(s):  
Carotid Endarterectomy ◽  
Bovine Pericardium ◽  
Patch Angioplasty ◽  
Mid Term Results

scholarly journals Nine-year experience of bovine pericardium patch angioplasty during carotid endarterectomy

2002 ◽  
Vol 36 (2) ◽  
pp. 271-277 ◽  
Author(s):  
Giorgio M. Biasi ◽  
Sarah Sternjakob ◽  
Paolo M. Mingazzini ◽  
Stefano A. Ferrari
Keyword(s):  
Carotid Endarterectomy ◽  
Bovine Pericardium ◽  
Patch Angioplasty

scholarly journals Comparative Analysis of the Biaxial Mechanical Behavior of Carotid Wall Tissue and Biological and Synthetic Materials Used for Carotid Patch Angioplasty

2011 ◽  
Vol 133 (11) ◽  
Author(s):  
Alexey V. Kamenskiy ◽  
Iraklis I. Pipinos ◽  
Jason N. MacTaggart ◽  
Syed A. Jaffar Kazmi ◽  
Yuris A. Dzenis
Keyword(s):  
Mechanical Properties ◽  
Carotid Artery ◽  
Mechanical Behavior ◽  
Carotid Endarterectomy ◽  
Physiological Stress ◽  
External Jugular Vein ◽  
Bovine Pericardium ◽  
Patch Selection ◽  
Patch Angioplasty ◽  
Carotid Wall

Patch angioplasty is the most common technique used for the performance of carotid endarterectomy. A large number of patching materials are available for use while new materials are being continuously developed. Surprisingly little is known about the mechanical properties of these materials and how these properties compare with those of the carotid artery wall. Mismatch of the mechanical properties can produce mechanical and hemodynamic effects that may compromise the long-term patency of the endarterectomized arterial segment. The aim of this paper was to systematically evaluate and compare the biaxial mechanical behavior of the most commonly used patching materials. We compared PTFE (n = 1), Dacron (n = 2), bovine pericardium (n = 10), autogenous greater saphenous vein (n = 10), and autogenous external jugular vein (n = 9) with the wall of the common carotid artery (n = 18). All patching materials were found to be significantly stiffer than the carotid wall in both the longitudinal and circumferential directions. Synthetic patches demonstrated the most mismatch in stiffness values and vein patches the least mismatch in stiffness values compared to those of the native carotid artery. All biological materials, including the carotid artery, demonstrated substantial nonlinearity, anisotropy, and variability; however, the behavior of biological and biologically-derived patches was both qualitatively and quantitatively different from the behavior of the carotid wall. The majority of carotid arteries tested were stiffer in the circumferential direction, while the opposite anisotropy was observed for all types of vein patches and bovine pericardium. The rates of increase in the nonlinear stiffness over the physiological stress range were also different for the carotid and patching materials. Several carotid wall samples exhibited reverse anisotropy compared to the average behavior of the carotid tissue. A similar characteristic was observed for two of 19 vein patches. The obtained results quantify, for the first time, significant mechanical dissimilarity of the currently available patching materials and the carotid artery. The results can be used as guidance for designing more efficient patches with mechanical properties resembling those of the carotid wall. The presented systematic comparative mechanical analysis of the existing patching materials provides valuable information for patch selection in the daily practice of carotid surgery and can be used in future clinical studies comparing the efficacy of different patches in the performance of carotid endarterectomy.

scholarly journals Bovine Pericardium vs Dacron for Patch Angioplasty After Carotid Endarterectomy

2002 ◽  
Vol 137 (7) ◽  
Author(s):  
Brian J. Marien ◽  
Joseph D. Raffetto ◽  
Craig S. Seidman ◽  
Wayne W. LaMorte ◽  
James O. Menzoian
Keyword(s):  
Carotid Endarterectomy ◽  
Bovine Pericardium ◽  
Patch Angioplasty

scholarly journals Comprehensive comparison of carotid endarterectomy primary closure and patch angioplasty: A single-institution experience

2022 ◽  
Vol 13 ◽  
pp. 1
Author(s):  
Nirmeen Zagzoog ◽  
Ali Elgheriani ◽  
Ahmed Attar ◽  
Radwan Takroni ◽  
Majid Aljoghaiman ◽  
...  
Keyword(s):  
Carotid Endarterectomy ◽  
Primary Closure ◽  
Retrospective Chart Review ◽  
Single Institution ◽  
Recurrent Stenosis ◽  
Doppler Ultrasound Imaging ◽  
Patch Angioplasty ◽  
Comprehensive Comparison ◽  
Patch Closure

Background: Carotid endarterectomy (CEA) is an effective intervention for the treatment of high-grade carotid stenosis. Technical preferences exist in the operative steps including the use patch for arteriotomy closure. The goals of this study are to compare the rate of postoperative complications and the rate of recurrent stenosis between patients undergoing primary versus patch closure during CEA. Methods: Retrospective chart review was conducted for patients who underwent CEA at single institution. Vascular surgeons mainly performed patch closure technique while neurosurgeons used primary closure. Patients’ baseline characteristics as well as intraprocedural data, periprocedural complications, and postprocedural follow-up outcomes were captured. Results: Seven hundred and thirteen charts were included for review with mean age of 70.5 years (SD = 10.4) and males representing 64.2% of the cohort. About 49% of patients underwent primary closure while 364 (51%) patients underwent patch closure. Severe stenosis was more prevalent in patients receiving patch closure (94.5% vs. 89.4%; P = 0.013). The incidence of overall complications did not differ between the two procedures (odds ratio = 1.23, 95% confidence intervals = 0.82–1.85; P = 0.353) with the most common complications being neck hematoma, strokes, and TIA. Doppler ultrasound imaging at 6 months postoperative follow-up showed evidence of recurrent stenosis in 15.7% of the primary closure patients compared to 16% in patch closure cohort. Conclusion: Both primary closure and patch closure techniques seem to have similar risk profiles and are equally robust techniques to utilize for CEA procedures.

Early Neurologic Outcome after Bovine Pericardium versus Venous Patch Angioplasty in 599 Patients Undergoing Carotid Endarterectomy

Vascular ◽  
2010 ◽  
Vol 18 (3) ◽  
pp. 147-153 ◽  
Author(s):  
T. Bisdas ◽  
M. Pichlmaier ◽  
S. Bisdas ◽  
A. Haverich ◽  
O. E. Teebken
Keyword(s):  
Carotid Endarterectomy ◽  
Bovine Pericardium ◽  
Neurologic Outcome ◽  
Patch Angioplasty ◽  
Venous Patch

scholarly journals Durability of eversion carotid endarterectomy: Comparison with primary closure and carotid patch angioplasty

2001 ◽  
Vol 34 (3) ◽  
pp. 453-458 ◽  
Author(s):  
Tony Katras ◽  
Ulises Baltazar ◽  
Daniel S. Rush ◽  
W.Chris Sutterfield ◽  
Leo M. Harvill ◽  
...  
Keyword(s):  
Carotid Endarterectomy ◽  
Primary Closure ◽  
Patch Angioplasty
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