Document Detail

Double-layer everted saphenous vein patch angioplasty for carotid endarterectomy.
MedLine Citation:
PMID:  11586451     Owner:  NLM     Status:  MEDLINE    
Saphenous vein patch angioplasty is the preferred method of closure of the arteriotomy site during carotid endarterectomies. A major early complication of the saphenous vein patch is rupture of the patch which can occur within the first few postoperative days. The reported incidence varies from 0.5% to 4%. Patch rupture can result in stroke or death. From May 1992 to April 1999, autogenous everted double-layer saphenous vein patch was used in 192 carotid endarterectomies performed on 168 patients; 96 males and 72 females. The age range was from 54 to 94 years with a mean age of 73 years. The saphenous vein is harvested from the ankle. It is everted and then used as a double-layer patch. The follow-up period was from 3 to 74 months, with a mean of 24 months. Postoperatively, there were no patch ruptures or late aneurysm formation. There was no perioperative mortality. Everted double-layer saphenous vein patch eliminates the risk of patch rupture and at the same time retains the benefits of an autologous nonprosthetic graft. Saphenous vein from the ankle can be safely used for carotid angioplasty as a double layer patch.
D Danikas; K M Schmeler; E M Ginalis; C Stratoulias; S M Shorten; G Constantinopoulos
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Vascular surgery     Volume:  35     ISSN:  0042-2835     ISO Abbreviation:  Vasc Surg     Publication Date:    2001 Jul-Aug
Date Detail:
Created Date:  2001-10-04     Completed Date:  2001-11-01     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0103277     Medline TA:  Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  259-61     Citation Subset:  IM    
Division of Vascular Surgery, Monmouth Medical Center, Long Branch, NJ 07740, USA.
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MeSH Terms
Aged, 80 and over
Amaurosis Fugax / complications,  surgery
Angioplasty / methods*
Carotid Stenosis / complications,  surgery
Endarterectomy, Carotid*
Follow-Up Studies
Ischemic Attack, Transient / complications,  surgery
Middle Aged
Saphenous Vein / surgery*
Stroke / complications,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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