Patch closure improves results with carotid endarterectomy.

  title={Patch closure improves results with carotid endarterectomy.},
  author={Ali F. Aburahma},
  journal={Seminars in vascular surgery},
  volume={17 3},
The type of closure after a carotid endarterectomy, primary closure versus patch angioplasty, is controversial. Most authorities agree that in a small carotid artery (</=4 mm), particularly in the presence of technical difficulties at the internal carotid artery end of the arteriotomy, closing with a patch may avoid restenosis. Our randomized prospective studies confirm the conclusions of several others that patching in general is superior to primary closure in lowering the incidence of… CONTINUE READING