Technical Aspects of Carotid Endarterectomy with Hemashield Patch Graft

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概要

• 論文の詳細を見る

• In this review I describe my method of carotid endarterectomy with synthetic patch angioplasty. The use of Hemashield patch angioplasty is relatively new in my practice, and since I have adopted it I feel it has reduced or eliminated early restenosis and acute postoperative occlusion. The technique is simple and straightforward, and does not require any special preparation of the patch material. The patch is stronger and safer than saphenous vein. The other steps of the endarterectomy are unchanged, and the same suture can be used for patch placement. I also describe here a new commercial shunt which I have developed and which I feel is an improvement over the shunts I previously used. I place an indwelling shunt selectively, if electroencephalography criteria indicate that a shunt is needed. In my series this occurs in 15% of cases, increasing to 25% in patients with contralateral carotid artery occlusion. The overall stroke rate in my carotid artery Series is 1.8% at present.

• 日本脳神経外科学会の論文
• 1997-11-15

著者

• Loftus Christopher

  Department Of Neurosurgery The University Of Oklahoma Health Sciences Center

• Loftus Christopher

  Department Of Neurosurgery Temple University School Of Medicine

関連論文

• Use of a Large Angioplasty Balloon for Predilation is a Risk Factor for Embolic Complications in Protected Carotid Stenting
• Technical Aspects of Carotid Endarterectomy with Hemashield Patch Graft

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