Matches in SemOpenAlex for { <https://semopenalex.org/work/W2095454015> ?p ?o ?g. }
- W2095454015 endingPage "993" @default.
- W2095454015 startingPage "985" @default.
- W2095454015 abstract "Background and purposeOverviews of randomized patch trials by the Cochrane Collaboration suggest that a policy of routine patching is preferable to routine primary closure. However, there is no systematic evidence that patch type, whether prosthetic or vein, influences outcome after carotid endarterectomy (CEA).MethodsTwo hundred seventy-three patients were randomized to vein or thin-walled Dacron patch (Hemashield Finesse) closure of the arteriotomy after 276 CEA procedures. Patients were reviewed clinically and with duplex ultrasound scanning at 1, 6, 12, 24, and 36 months or until death. No patients were lost to follow-up. Cumulative statistical analyses are presented for the 264 patients (269 CEAs) who actually received a randomized treatment allocation.ResultsCumulative freedom from death or ipsilateral stroke at 3 years (including operative events) was 93.0% in the Dacron patch group and 95.5% in the vein group P = .42). Cumulative freedom from death or any stroke was 91.5% after Dacron patch closure and 93.9% after vein closure (P = .46). Cumulative freedom from recurrent stenosis greater than 70% or occlusion at 3 years was 92.9% for patients randomized to the Dacron patch group and 98.4% for patients randomized to the vein group (P = .03). At 3 years the incidence of stroke in the carotid territory not operated on was 1.0% in 93 patients with no contralateral internal carotid artery disease at randomization, and increased to 1.3% in 78 patients with 1% to 69% stenosis, and 2.0% in 51 patients with contralateral 70% to 99% stenosis. No late strokes occurred distal to 42 occluded contralateral internal carotid arteries.ConclusionsPatch type has no influence on early operative risk, no association with enhanced patterns of thrombogenicity in the early postoperative period, and no influence on risk for ipsilateral or any stroke at 3 years. Dacron patches were, however, associated with a significantly higher incidence of recurrent stenosis at 3 years, with most occurring within 6 to 12 months of surgery. However, the higher incidence of recurrent stenosis was not associated with a parallel increase in late stroke, and in this study a program of serial ultrasound surveillance could not have prevented one ipsilateral stroke." @default.
- W2095454015 created "2016-06-24" @default.
- W2095454015 creator A5019186214 @default.
- W2095454015 creator A5035382024 @default.
- W2095454015 creator A5042238391 @default.
- W2095454015 creator A5055561904 @default.
- W2095454015 creator A5063377564 @default.
- W2095454015 creator A5071156459 @default.
- W2095454015 creator A5081337679 @default.
- W2095454015 creator A5088206319 @default.
- W2095454015 date "2004-05-01" @default.
- W2095454015 modified "2023-10-14" @default.
- W2095454015 title "Randomized trial of vein versus dacron patching during carotid endarterectomy: Long-term results" @default.
- W2095454015 cites W1979195598 @default.
- W2095454015 cites W1995468632 @default.
- W2095454015 cites W1999536155 @default.
- W2095454015 cites W2015884417 @default.
- W2095454015 cites W2021116916 @default.
- W2095454015 cites W2021594140 @default.
- W2095454015 cites W2039310691 @default.
- W2095454015 cites W2055565848 @default.
- W2095454015 cites W2076717543 @default.
- W2095454015 cites W2077785232 @default.
- W2095454015 cites W2085462419 @default.
- W2095454015 cites W2096358934 @default.
- W2095454015 cites W2128269203 @default.
- W2095454015 cites W2136250313 @default.
- W2095454015 cites W2140987138 @default.
- W2095454015 cites W2142878094 @default.
- W2095454015 cites W2316997036 @default.
- W2095454015 cites W2612334191 @default.
- W2095454015 cites W3146270511 @default.
- W2095454015 cites W4237731140 @default.
- W2095454015 cites W4248655841 @default.
- W2095454015 doi "https://doi.org/10.1016/j.jvs.2004.01.037" @default.
- W2095454015 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/15111849" @default.
- W2095454015 hasPublicationYear "2004" @default.
- W2095454015 type Work @default.
- W2095454015 sameAs 2095454015 @default.
- W2095454015 citedByCount "61" @default.
- W2095454015 countsByYear W20954540152012 @default.
- W2095454015 countsByYear W20954540152013 @default.
- W2095454015 countsByYear W20954540152014 @default.
- W2095454015 countsByYear W20954540152016 @default.
- W2095454015 countsByYear W20954540152017 @default.
- W2095454015 countsByYear W20954540152018 @default.
- W2095454015 countsByYear W20954540152019 @default.
- W2095454015 countsByYear W20954540152020 @default.
- W2095454015 countsByYear W20954540152021 @default.
- W2095454015 countsByYear W20954540152022 @default.
- W2095454015 countsByYear W20954540152023 @default.
- W2095454015 crossrefType "journal-article" @default.
- W2095454015 hasAuthorship W2095454015A5019186214 @default.
- W2095454015 hasAuthorship W2095454015A5035382024 @default.
- W2095454015 hasAuthorship W2095454015A5042238391 @default.
- W2095454015 hasAuthorship W2095454015A5055561904 @default.
- W2095454015 hasAuthorship W2095454015A5063377564 @default.
- W2095454015 hasAuthorship W2095454015A5071156459 @default.
- W2095454015 hasAuthorship W2095454015A5081337679 @default.
- W2095454015 hasAuthorship W2095454015A5088206319 @default.
- W2095454015 hasBestOaLocation W20954540151 @default.
- W2095454015 hasConcept C126838900 @default.
- W2095454015 hasConcept C127413603 @default.
- W2095454015 hasConcept C141071460 @default.
- W2095454015 hasConcept C168563851 @default.
- W2095454015 hasConcept C204243189 @default.
- W2095454015 hasConcept C2776268601 @default.
- W2095454015 hasConcept C2776820930 @default.
- W2095454015 hasConcept C2777202286 @default.
- W2095454015 hasConcept C2779450455 @default.
- W2095454015 hasConcept C2779745121 @default.
- W2095454015 hasConcept C2780007028 @default.
- W2095454015 hasConcept C2780645631 @default.
- W2095454015 hasConcept C2781068581 @default.
- W2095454015 hasConcept C71924100 @default.
- W2095454015 hasConcept C78519656 @default.
- W2095454015 hasConceptScore W2095454015C126838900 @default.
- W2095454015 hasConceptScore W2095454015C127413603 @default.
- W2095454015 hasConceptScore W2095454015C141071460 @default.
- W2095454015 hasConceptScore W2095454015C168563851 @default.
- W2095454015 hasConceptScore W2095454015C204243189 @default.
- W2095454015 hasConceptScore W2095454015C2776268601 @default.
- W2095454015 hasConceptScore W2095454015C2776820930 @default.
- W2095454015 hasConceptScore W2095454015C2777202286 @default.
- W2095454015 hasConceptScore W2095454015C2779450455 @default.
- W2095454015 hasConceptScore W2095454015C2779745121 @default.
- W2095454015 hasConceptScore W2095454015C2780007028 @default.
- W2095454015 hasConceptScore W2095454015C2780645631 @default.
- W2095454015 hasConceptScore W2095454015C2781068581 @default.
- W2095454015 hasConceptScore W2095454015C71924100 @default.
- W2095454015 hasConceptScore W2095454015C78519656 @default.
- W2095454015 hasIssue "5" @default.
- W2095454015 hasLocation W20954540151 @default.
- W2095454015 hasLocation W20954540152 @default.
- W2095454015 hasOpenAccess W2095454015 @default.
- W2095454015 hasPrimaryLocation W20954540151 @default.
- W2095454015 hasRelatedWork W1986987068 @default.
- W2095454015 hasRelatedWork W1987205591 @default.