Routine versus selective carotid patching
نویسندگان
چکیده
منابع مشابه
Effect of patching on reducing restenosis in the carotid revascularization endarterectomy versus stenting trial.
BACKGROUND AND PURPOSE The purpose is to determine whether patching during carotid endarterectomy (CEA) affects the perioperative and long-term risks of restenosis, stroke, death, and myocardial infarction as compared with primary closure. METHODS We identified all patients who were randomized and underwent CEA in Carotid Revascularization Endarterectomy versus Stenting Trial. CEA patients wh...
متن کاملRoutine or selective carotid artery shunting for carotid endarterectomy (and different methods of monitoring in selective shunting).
BACKGROUND Temporary interruption of cerebral blood flow during carotid endarterectomy can be avoided by using a shunt across the clamped section of the carotid artery. This may improve outcome. This is an update of a Cochrane Review originally published in 1996 and previously updated in 2001. OBJECTIVES To assess the effect of routine versus selective, or never, shunting during carotid endar...
متن کاملSelective versus routine use of episiotomy for vaginal birth
BACKGROUND Some clinicians believe that routine episiotomy, a surgical cut of the vagina and perineum, will prevent serious tears during childbirth. On the other hand, an episiotomy guarantees perineal trauma and sutures. OBJECTIVES To assess the effects on mother and baby of a policy of selective episiotomy ('only if needed') compared with a policy of routine episiotomy ('part of routine man...
متن کاملSelective shunt during carotid endarterectomy using routine awake test with respect to a lower shunt rate
PURPOSE To evaluate shunt rate and discuss the resultsrelated to selective shunt placement during carotid endarterectomy (CEA) using routine awake test. METHODS Patients with CEA from 2007 to 2011 were retrospectively reviewed from prospectively collected data. The need for shunt placement was determined by the awake test, based on the alteration in the neurologic examination. We collected da...
متن کاملRedo carotid endarterectomy versus primary carotid endarterectomy.
BACKGROUND AND PURPOSE Several authorities have recently advocated carotid stenting for recurrent carotid stenosis because of the perception that redo surgery has a higher complication rate than primary carotid endarterectomy (CEA). This study compares the early and late results of reoperations versus primary CEA. METHODS All reoperations for recurrent carotid stenosis performed during a rece...
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ژورنال
عنوان ژورنال: Journal of Vascular Surgery
سال: 1992
ISSN: 0741-5214
DOI: 10.1016/0741-5214(92)90723-l