title: Case-matched comparison of early and long-term outcomes of everted cervical vein and saphenous vein carotid patch angioplasty.
abstract: OBJECTIVE
  To compare outcomes after carotid endarterectomy (CEA) with saphenous vein patch closure (SV), with cervical vein (external jugular and common facial) patch closure (CV).
  
  
  METHODS
  A total of 322 cases of CEA was achieved consecutively by using venous patch angioplasty. Propensity scores were calculated followed by a one-to-one basis case-matching.
  
  
  METHODS
  This resulted into 90 SV and 90 CV matched cases.
  
  
  METHODS
  The primary endpoint was the incidence of ipsilateral stroke and transient ischaemic attack at any time during follow-up.
  
  
  RESULTS
  Ten-year freedom from stroke was 94.1% ± 3.5% for the SV group and 90.5% ± 4.2% for the CV group (log rank P = 0.230). Ten-year freedom from ipsilateral neurological events (stroke and transient ischaemic attack) was 93.5% ± 3.3% for SV group and 92.4% ± 3.0% for the CV group (log rank P = 0.403). Ten-year freedom from ≥75% stenosis/occlusion was 93.1 ± 4.8% for the SV group and 89.9 ± 6.0% for the CV group (log rank P = 0.481).
  
  
  CONCLUSIONS
  CV is a good alternative to SV patching, particularly when the SV needs to be preserved for further use or is unsuitable.
authors.affiliation: Cardio-vascular Surgery, CHU Mont Godinne, Belgium. yves.louagie@uclouvain.be
authors.forename: Y
authors.initials: Y
authors.lastname: Louagie
authors.forename: M
authors.initials: M
authors.lastname: Buche
authors.forename: P
authors.initials: P
authors.lastname: Eucher
authors.forename: J-M
authors.initials: JM
authors.lastname: Goffinet
authors.forename: P
authors.initials: P
authors.lastname: Laloux
authors.forename: J
authors.initials: J
authors.lastname: Jamart
mesh_terms: D000368:Aged; D001021:Aortic Valve / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D016022:Case-Control Studies; D015897:Comorbidity; D001026:Coronary Artery Bypass; D016894:Endarterectomy, Carotid / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D002546:Ischemic Attack, Transient / Q000209:etiology / Q000401:mortality; D008297:Male; D008875:Middle Aged; D009460:Neurologic Examination; D011183:Postoperative Complications / Q000209:etiology / Q000401:mortality; D011446:Prospective Studies; D020521:Stroke / Q000209:etiology / Q000401:mortality; D014680:Veins / Q000637:transplantation*