[Recurrent stenoses following carotid TEA].
Follow-up of 798 patients by Duplex scanning or digital venous angiography 6 months to 13 years after carotid endarterectomy revealed a recurrent stenosis rate of 3.4%. The incidence of the recurrent lesions showed a clear correlation with the operative technique: after closure of the arteriotomy directly (continuous suture) or with a vein patch (303 pat.) the recurrent stenosis rate was 4 times higher than after closure with a dacron patch (495 pat.). Our investigations indicate that recurrent stenosis and occlusions after carotid endarterectomy are largely avoidable. Sufficient length of arteriotomy (5-8 cm), dilatation of the distal internal carotid artery and lumen congruent closure of the arteriotomy with a dacron patch are the pivots of success.
D001807:Blood Vessel Prosthesis; D002339:Carotid Arteries / Q000601:surgery; D002340:Carotid Artery Diseases / Q000601:surgery*; D002341:Carotid Artery Thrombosis / Q000601:surgery; D003251:Constriction, Pathologic / Q000601:surgery; D004691:Endarterectomy; D005500:Follow-Up Studies; D006801:Humans; D002546:Ischemic Attack, Transient / Q000601:surgery; D012008:Recurrence
Rezidivstenosen nach Carotis-TEA.