Outcome of primary closure following carotid endarterectomy with a novel technique: An 8-year multicenter cohort study

Abstract

This study evaluated the safety and efficacy of a novel primary closure technique in carotid endarterectomy compared with traditional methods. Conducted over 8 years at three university hospitals, this study included 184 patients. Early complications (8.7%) included hematoma, transient ischemic attack, myocardial infarction, stroke, and death. Late complications involved myocardial infarction, death, transient ischemic attack, stroke, and reintervention. The 1-year follow-up showed a significant (>70%) restenosis rate of only 1.9%. The novel technique in carotid endarterectomy seems to be a safe and effective alternative to patch angioplasty, offering advantages for selected patients. Further studies are required.

Keywords

• Carotid endarterectomy (CEA)
• Primary closure
• Carotid artery disease
• Stroke
• Vascular surgery