Comparison of primary suturing and dacron patch in carotid endarterectomy

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dc.contributor.authorÖntaş, Hakan
dc.contributor.authorSerhatlıoğlu, Faruk
dc.contributor.authorGözüaçık Rüzgar, Asiye Aslı
dc.contributor.authorAcar, Altay Nihat
dc.date.accessioned2024-11-07T10:39:56Z
dc.date.available2024-11-07T10:39:56Z
dc.date.issued2023
dc.departmentNiğde Ömer Halisdemir Üniversitesi
dc.description.abstractPurpose: In carotid artery atherosclerotic disease; indications for intervention are accepted to be over 75% stenosis for asymptomatic patients and over 50% for symptomatic patients. Preferred surgical treatment is carotid endarterectomy. In this study, we compared clinical outcomes and ultrasonographic findings in two different surgical techniques of arteriotomy closure. The first technique consisted of primary suturing and the second is patch angioplasty with a dacron patch. In 6 month follow-up period clinical examinations and dupplex ultrasonography were performed and analyzed statistically. Material and methods: 60 patients who underwent carotid endarterectomy for carotid artery disease between January 2017 and December 2020 were enrolled in the study. Data were obtained from hospital database and evaluated statistically. 30 arteriotomy incisions were closed primarily and 30 with dacron patch angioplasty. As surgical indication 50% stenosis in symptomatic patients and 70% stenosis in asymptomatic were determined. Postoperative complications were evaluated. After discharge one-week, two-month, six-month clinical examitanions were performed and in six-month follow up dupplex ultrasonography was performed by an independent radiology specialist, and these results were compared statistically. Results: When the patients were evaluated in terms of postoperative complications, clinical follow-up after discharge, and 6-month Doppler ultrasonography, no significant differences were detected. Conclusion: No statistically significant difference was found among techniques primary suturing and dacron patch angioplasty for stroke, occlusion and re-stenosis rates. According to short term results both techniques may be feasible for arteriotomy closure during carotid endarterectomy. © 2023, Pamukkale University. All rights reserved.
dc.identifier.doi10.31362/patd.1127107
dc.identifier.endpage186
dc.identifier.issn1309-9833
dc.identifier.issue2
dc.identifier.scopus2-s2.0-85160684167
dc.identifier.scopusqualityN/A
dc.identifier.startpage180
dc.identifier.trdizinid1163654
dc.identifier.urihttps://doi.org/10.31362/patd.1127107
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1163654
dc.identifier.urihttps://hdl.handle.net/11480/11315
dc.identifier.volume16
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.publisherPamukkale University
dc.relation.ispartofPamukkale Medical Journal
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20241106
dc.subjectCarotid endarterectomy
dc.subjectdacron patch angioplasty
dc.subjectprimary suturing
dc.subjectstroke
dc.titleComparison of primary suturing and dacron patch in carotid endarterectomy
dc.title.alternativeKarotis endarterektomide dacron yama ve primer kapatma yöntemlerinin karşılaştırılması
dc.typeArticle

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