Revisiting carotid endarterectomy: Neobulb technique using external carotid artery as a patch

被引：0

作者：

Araujo, Adalberto P. ^{[1
,2
]}

Araujo-Gomes, Cristiane F. ^{[2
,3
]}

Poschinger-Figueiredo, Douglas ^{[2
,3
]}

Delgado, Carlos Felipe S. ^{[2
]}

Mayall, Monica R. ^{[2
,3
]}

Campanario, Flavia F. B. ^{[2
]}

Eduardo Virgini-Magalhaes, Carlos ^{[3
]}

机构：

[1] Fed Univ Rio de Janeiro UFRJ, Clementino Fraga Filho Univ Hosp HUCFF, Dept Vasc Surg, Rio De Janeiro, Brazil

[2] Angiocardiol Ctr, Rua Vice Governador Rubens Berardo 125,BI 2, BR-22451070 Rio De Janeiro, RJ, Brazil

[3] Rio de Janeiro State Univ UERJ, Pedro Ernesto Univ Hosp HUPE, Teaching & Hlth Care Unit Vasc & Endovasc Surg, Rio De Janeiro, Brazil

来源：

VASCULAR | 2023年 / 31卷 / 01期

关键词：

Carotid stenosis; carotid endarterectomy; external carotid artery; internal carotid artery; suture techniques; PROSPECTIVE RANDOMIZED-TRIAL; PRIMARY CLOSURE; SYMPTOMATIC PATIENTS; SAPHENOUS-VEIN; SURGERY-TRIAL; ANGIOPLASTY;

D O I：

10.1177/17085381211052378

中图分类号：

R6 [外科学];

学科分类号：

1002 ; 100210 ;

摘要：

Objectives This study describes an alternative carotid bifurcation endarterectomy technique in which the external carotid artery is used as a suture patch. Methods Charts of ten patients with atherosclerotic carotid stenosis that were treated using the neobulb technique between 2002 and 2019 were reviewed. Results No major surgical adverse event was observed in the postoperative assessments. No postoperative common or internal carotid stenosis was observed in the mid- or long-term follow-up. Conclusions The neobulb technique allows carotid endarterectomy closure without a synthetic or venous patch, using the external carotid artery as an autologous patch, while preserving distal flow into the external carotid artery branches.

引用

页码：83 / 89

页数：7

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