Repair of carotid endarterectomy with a collagen-impregnated fabric graft

Fredric B. Meyer, Wanda L. Windschitl

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Saphenous vein patch closure of carotid endarterectomies may decrease the risk of acute postoperative occlusion and recurrent stenosis. However, the disadvantages of a vein patch include postoperative rupture and pseudoaneurysm formation. Object. The authors sought to assess the effectiveness of collagen-impregnated fabric grafts as substitutes for saphenous vein grafts. Methods. In this report the authors prospectively analyzed 290 consecutive carotid endarterectomies in which a secondary closure was accomplished using a knitted double-velour graft. The 30-day major neurological morbidity and mortality rate was 1.7%. There were no postoperative occlusions or wound hematomas. The rate of recurrent carotid artery stenosis was less than 1%, and the graft site in one patient became infected. Conclusions. For surgeons who prefer a secondary closure of carotid endarterectomies, the synthetic graft may prove to be a viable alternative to a saphenous vein.

Original languageEnglish (US)
Pages (from-to)647-649
Number of pages3
JournalJournal of Neurosurgery
Volume88
Issue number4
StatePublished - Apr 1998

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Keywords

  • Carotid endarterectomy
  • Graft
  • Postoperative occlusion
  • Recurrent stenosis

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

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