Comparison of primary suturing and dacron patch in carotid endarterectomy

Authors : Hakan Öntaş, Faruk Serhatlioğlu, Asiye Aslı Gözüaçik Rüzgar, Altay Nihat Acar

Pages : 180-186

Doi:10.31362/patd.1127107

View : 16 | Download : 7

Publication Date : 2023-04-05

Article Type : Research

Abstract :Background: 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. 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.
Keywords : Karotis endarterektomi, inme, birincil dikiş, dakron yama anjiyoplasti