パッチグラフトを用いた頸動脈血栓内膜剥離術

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The problem of early thrombosis-occlusion and recurrent carotid artery stenosis has raised a controversy over whether primary closure or patch graft closure is better. In 17 patients treated by CEA between 1998 and 2002, patch grafts were used in our institute to avoid acute thrombosis-occlusion and restenosis. In this study, we investigated the following: surgical complications, ischemic events in the follow-up term and restenosis in the follow-up term. No surgical complications developed. During the follow-up term (26.2 ±16.7 months), no patient showed any ischemic symptoms. In 15 patients, follow-up angiography was performed. The mean follow-up was 15.0 ±17.0 months. On follow-up angiography, no patient showed restenosis of more than 50%. We suggest endarterectomy with patch graft as an effective treatment of atherosclerotic carotid stenosis.
日本脳卒中の外科学会の論文
2004-01-31

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