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颈动脉内膜切除术后静脉补片移植能否降低再狭窄率?分层前瞻性随机试验研究。

Is venous patch grafting after carotid endarterectomy able to reduce the rate of restenosis? Prospective randomized pilot study with stratification.

作者信息

De Vleeschauwer P, Wirthle W, Höller L, Krause E, Horsch S

机构信息

Teaching Hospital, Surgical Department, Cologne, Germany.

出版信息

Acta Chir Belg. 1987 Jul-Aug;87(4):242-6.

PMID:3310476
Abstract

Many studies have already demonstrated that the restenosis rate after carotid endarterectomy is greater as expected since ultrasound examination has become a routine procedure after endarterectomy. The purpose of our randomized study is to compare the rates of restenosis with two methods of carotid endarterectomy--direct suturing and autologous vein grafting. Sofar restenosis are found after endarterectomy and direct suturing. Different possible causes for restenosis are discussed. We hope to inform soon if patching with the autologous vein is the best method in order to prevent early restenosis after CEA.

摘要

许多研究已经表明,自从超声检查成为颈动脉内膜切除术后的常规程序以来,该手术后的再狭窄率比预期的要高。我们这项随机研究的目的是比较两种颈动脉内膜切除术——直接缝合和自体静脉移植术——的再狭窄率。到目前为止,在颈动脉内膜切除术和直接缝合术后均发现了再狭窄情况。文中讨论了再狭窄的不同可能原因。我们希望尽快知晓自体静脉补片是否是预防颈动脉内膜切除术后早期再狭窄的最佳方法。

相似文献

1
Is venous patch grafting after carotid endarterectomy able to reduce the rate of restenosis? Prospective randomized pilot study with stratification.颈动脉内膜切除术后静脉补片移植能否降低再狭窄率?分层前瞻性随机试验研究。
Acta Chir Belg. 1987 Jul-Aug;87(4):242-6.
2
[Value of the prosthetic patch after carotid endarterectomy].[颈动脉内膜切除术后人工补片的价值]
J Mal Vasc. 1994;19 Suppl A:10-7.
3
[Carotid endarterectomy using direct suturing].[使用直接缝合的颈动脉内膜切除术]
Ann Ital Chir. 1997 Jul-Aug;68(4):479-82.
4
Hypercholesterolemia and early restenosis after carotid endarterectomy.颈动脉内膜切除术后的高胆固醇血症与早期再狭窄
Surgery. 1987 Mar;101(3):277-82.
5
Polyester vs. bovine pericardial patching during carotid endarterectomy: early neurologic events and incidence of restenosis.颈动脉内膜切除术中聚酯与牛心包补片的比较:早期神经事件和再狭窄发生率
Cardiovasc Surg. 2003 Dec;11(6):465-70. doi: 10.1016/S0967-2109(03)00109-1.
6
[Surgeries on the carotid arteries].[颈动脉手术]
Khirurgiia (Mosk). 1990 Aug(8):90-4.
7
Recurrent carotid stenosis. Incidence and management.复发性颈动脉狭窄。发病率及治疗
Am Surg. 1987 Feb;53(2):61-5.
8
Early results of combined carotid endarterectomy and coronary artery bypass grafting in patients with severe coronary and carotid artery disease.重度冠状动脉和颈动脉疾病患者行颈动脉内膜切除术与冠状动脉搭桥术联合治疗的早期结果
J R Coll Surg Edinb. 1993 Dec;38(6):340-3.
9
[Clinical analysis of endarterectomy to the stenosis and occlusion of carotid artery].[颈动脉狭窄和闭塞内膜切除术的临床分析]
Zhonghua Wai Ke Za Zhi. 2004 Feb 22;42(4):233-5.
10
Does contralateral carotid occlusion influence neurologic fate of carotid endarterectomy?对侧颈动脉闭塞是否会影响颈动脉内膜切除术的神经学转归?
Surgery. 1984 Nov;96(5):839-44.

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Patch angioplasty versus primary closure for carotid endarterectomy.颈动脉内膜切除术时斑块切除术与直接缝合的比较。
Cochrane Database Syst Rev. 2022 Aug 3;8(8):CD000160. doi: 10.1002/14651858.CD000160.pub4.
2
Carotid endarterectomy with patch angioplasty versus primary closure in patients with symptomatic and significant stenosis: a systematic review with meta-analyses and trial sequential analysis of randomized clinical trials.有症状且严重狭窄患者行颈动脉内膜切除术加补片血管成形术与直接缝合术的比较:一项对随机临床试验的系统评价、荟萃分析及试验序贯分析
Syst Rev. 2021 May 6;10(1):139. doi: 10.1186/s13643-021-01692-8.
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Long-term Comparative Outcomes of Carotid Artery Stenting Following Previous Carotid Endarterectomy vs De Novo Lesions.
既往颈动脉内膜切除术与新发病变后颈动脉支架置入术的长期比较结果
J Endovasc Ther. 2015 Jun;22(3):449-56. doi: 10.1177/1526602815581597. Epub 2015 Apr 15.
4
Patch angioplasty versus primary closure for carotid endarterectomy.颈动脉内膜切除术的补片血管成形术与一期缝合术对比
Cochrane Database Syst Rev. 2009 Oct 7;2009(4):CD000160. doi: 10.1002/14651858.CD000160.pub3.