By Rohit Khurana BMBCH, PhD, Philip Teal MD (auth.), Jacqueline Saw (eds.)
Over the prior 3 many years, carotid artery stenting has developed to develop into a promising and workable substitute to carotid endarterectomy, in particular for sufferers deemed to have excessive surgical hazards. In Carotid Artery Stenting: the fundamentals, Jacqueline observed and a panel of overseas specialists on carotid artery stenting talk about intensive the main points of all modern facets of carotid stenting, whereas reviewing aiding stories, guidance, technical views, and peri-procedural administration. This textbook serves as a studying source at the multifaceted administration of sufferers with carotid artery stenosis, with the most important specialise in extracranial carotid artery stenting. extra sections aspect the specifics of constructing and conserving a laboratory and talk about the training of the carotid artery stenting technique from either the sufferer and operator’s viewpoint. Authoritative and hugely sensible, Carotid Artery Stenting: the fundamentals is an available advisor and invaluable source for today’s cardiologists, radiologists, and vascular surgeons.
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Extra info for Carotid Artery Stenting: The Basics
Longterm follow-up for recurrent stenosis: a prospective randomized study of expanded polytetrafluoroethylene patch angioplasty versus primary closure after carotid endarterectomy. J Vasc Surg 1994;19:198–203; discussion 204–205. 46. AbuRahma AF, Khan JH, Robinson PA, Saiedy S, Short YS, Boland JP, White JF, Conley Y. Prospective randomized trial of carotid endarterectomy with primary closure and patch angioplasty with saphenous vein, jugular vein, and polytetrafluoroethylene: perioperative (30-day) results.
A meta-analysis of seven randomized controlled trials reported little difference between the types of patch material (54). Hence, at the present moment, there is no consensus that any particular type of patch material is better than the other. A possible disadvantage of vein patch is patch disruption (55–58), and that of prosthetic material is infection. A Variant Approach: Eversion Endarterectomy Although most surgeons perform open CEA, some prefer the eversion endarterectomy technique. This involves a similar dissection as the standard endarterectomy.
However, many patients were excluded from these studies on the basis of one or more clinical or anatomic criteria that placed them in a high surgical risk category (see Table 1). 5% in non-trial hospitals depending on the annual volume of procedures performed (9). This indicated first that the particular center and experience of the surgeon were important factors in determining outcome; and second, that even at these institutions peri-operative mortality in real-world patients was significantly higher than reported in clinical trials.