Division-endarterectomy-anastomosis of the internal carotid artery: a prospective randomized comparative study.
RG Vanmaele, PE Van Schil, MG DeMaeseneer, G Meese, P Lehert, RF Van Look
Cardiovasc Surg | Published : 1994
Saphenous vein patch angioplasty is reported to yield superior results for carotid endarterectomy. In order to evaluate an alternative technique, which leaves the saphenous vein intact for other possible graft purposes, 200 carotid endarterectomies were included in a prospective randomized comparative study. Patients were randomized to two statistically equivalent groups: one group underwent classical carotid endarterectomy through a longitudinal incision with saphenous vein patch angioplasty; the other had endarterectomy through an oblique division of the internal carotid followed by in situ anastomosis. Cross-clamping time was approximately 5min shorter with the division-endarterectomy-ana..View full abstract