Carotid artery Dacron patch graft angioplasty: a ten-year experience.
Of 394 carotid endarterectomies performed during a 10-year period, 36 (9%) included Dacron patch graft angioplasties. Patch graft angioplasties were used selectively in patients because they had undergone previous carotid endarterectomy or had small-caliber vessels. There were no postoperative infections, occlusions, emboli, stroke, or pseudoaneurysms. In addition, no clinically detectable recurrent stenoses developed in this high-risk group of patients. Twenty-four of the 27 patients available for follow-up were screened for asymptomatic stenoses with spectral analysis and B-mode imaging; there was no sign of hemodynamically significant recurrent stenosis in this group. These encouraging results support the continued selective use of Dacron patch graft angioplasty in carotid surgery.
Schultz
G A
GA
Bob Hope International Heart Research Institute, Providence Medical Center, Seattle, WA 98122.
Zammit
M
M
Sauvage
L R
LR
Spencer
M P
MP
Kowalsky
T E
TE
Goff
S G
SG
Smith
J C
JC
D001807:Blood Vessel Prosthesis; D002340:Carotid Artery Diseases / Q000601:surgery*; D002343:Carotid Artery, Internal / Q000601:surgery; D003251:Constriction, Pathologic / Q000601:surgery; D004691:Endarterectomy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011093:Polyethylene Terephthalates; D012008:Recurrence; D012307:Risk Factors
D011093:Polyethylene Terephthalates