지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2010.5
- 수록면
- 314 - 319 (6page)
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초록· 키워드
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Purpose: The aim of this study was to compare the short and long-term outcomes following carotid endarterectomy (CEA) with either primary closure (PC) or patch angioplasty (PAT) performed by single center vascular surgeons.
Methods: Between November 1994 and March 2008, a total of 366 patients underwent 401 consecutive primary CEA procedures at our institution. We retrospectively reviewed patients’ medical records. Two vascular surgeons prefer routine PC and one vascular surgeon prefer routine patch closure using bovine pericardial patch. Postoperative neurologic complications were determined by clinical neurologists. Restenosis was defined as ＞50% stenosis on follow-up duplex scan. Data was analyzed to compare the early (≤30 days) and late results of CEA between PC group and PAT group.
Results: The mean follow-up duration was significantly longer in the PC group than that in the PAT group (61.7 months vs. 41.2 months, P＜0.001). Coronary artery disease and combined CEA with coronary artery bypass were more common in the PAT group (39% vs. 55%, P＜0.002; 4% vs. 12%, P＜0.004). Perioperative ipsilateral TIA/stroke rates in the PC and PAT groups were 1.5% and 0.7% (PC=4/270 vs. PAT=1/131, P=0.564). Regarding late outcomes, Kaplan-Meier analysis failed to show any difference between 2 groups on freedom from ipsilateral transient ischemic attack (TIA)/stroke, freedom from restenosis and TIA/stroke-free survival (P=0.851, P=0.232, P=0.103, log-rank test).
Conclusion: Our results suggest that PC following CEA is not necessarily inferior to PAT for experienced surgeons.
Methods: Between November 1994 and March 2008, a total of 366 patients underwent 401 consecutive primary CEA procedures at our institution. We retrospectively reviewed patients’ medical records. Two vascular surgeons prefer routine PC and one vascular surgeon prefer routine patch closure using bovine pericardial patch. Postoperative neurologic complications were determined by clinical neurologists. Restenosis was defined as ＞50% stenosis on follow-up duplex scan. Data was analyzed to compare the early (≤30 days) and late results of CEA between PC group and PAT group.
Results: The mean follow-up duration was significantly longer in the PC group than that in the PAT group (61.7 months vs. 41.2 months, P＜0.001). Coronary artery disease and combined CEA with coronary artery bypass were more common in the PAT group (39% vs. 55%, P＜0.002; 4% vs. 12%, P＜0.004). Perioperative ipsilateral TIA/stroke rates in the PC and PAT groups were 1.5% and 0.7% (PC=4/270 vs. PAT=1/131, P=0.564). Regarding late outcomes, Kaplan-Meier analysis failed to show any difference between 2 groups on freedom from ipsilateral transient ischemic attack (TIA)/stroke, freedom from restenosis and TIA/stroke-free survival (P=0.851, P=0.232, P=0.103, log-rank test).
Conclusion: Our results suggest that PC following CEA is not necessarily inferior to PAT for experienced surgeons.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
ACKNOWLEDGEMENTS
REFERENCES
참고문헌 (23)
참고문헌 신청
1. [학술지(정기간행물)] - Ranaboldo CJ / 1993 / Randomized controlled trial of patch angioplasty for carotid endarterectomy. The Joint Vascular Research Group / Br J Surg 80 : 1528 ~ 1530
2. [학술지(정기간행물)] - AbuRahma AF / 1996 / Prospective randomized trial of carotid endarterectomy with primary closure and patch angioplasty with saphenous vein, jugular vein, and polytetrafluoroethylene: perioperative (30-day) results / J Vasc Surg 24 : 998 ~ 1006
3. [학술지(정기간행물)] - AbuRahma AF / 1998 / Prospective randomized trial of carotid endarterectomy with primary closure and patch angioplasty with saphenous vein, jugular vein, and polytetrafluoroethylene: long-term follow-up / J Vasc Surg 27 : 222 ~ 232
4. [학술지(정기간행물)] - Eikelboom BC / 1988 / Benefits of carotid patching: a randomized study / J Vasc Surg 7 : 240 ~ 247
5. [학술지(정기간행물)] - De Letter JA / 1994 / Benefits of carotid patching: a prospective randomized study with long-term follow-up / Ann Vasc Surg 8 : 54 ~ 58
2. [학술지(정기간행물)] - AbuRahma AF / 1996 / Prospective randomized trial of carotid endarterectomy with primary closure and patch angioplasty with saphenous vein, jugular vein, and polytetrafluoroethylene: perioperative (30-day) results / J Vasc Surg 24 : 998 ~ 1006
3. [학술지(정기간행물)] - AbuRahma AF / 1998 / Prospective randomized trial of carotid endarterectomy with primary closure and patch angioplasty with saphenous vein, jugular vein, and polytetrafluoroethylene: long-term follow-up / J Vasc Surg 27 : 222 ~ 232
4. [학술지(정기간행물)] - Eikelboom BC / 1988 / Benefits of carotid patching: a randomized study / J Vasc Surg 7 : 240 ~ 247
5. [학술지(정기간행물)] - De Letter JA / 1994 / Benefits of carotid patching: a prospective randomized study with long-term follow-up / Ann Vasc Surg 8 : 54 ~ 58
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UCI(KEPA) : I410-ECN-0101-2013-514-002678231