Carotid endarterectomy with bovine patch angioplasty: a preliminary report. However, no definitive study has demonstrated a clear benefit of one class of the patch material over another.
The aim of this study was to evaluate the clinical outcome of carotid endarterectomy with bovine pericardium patch in comparison with autologous vein patch. One hundred and twenty- two carotid endarterectomies were performed using patch closure of the arteriotomy with bovine pericardium (6. September 1. 99. 5 and June 1. Though this is not a double- blind type randomized comparative study, effort was made to achieve a 1: 1 ratio in sequence with a few exceptions such as non- available veins at time of surgery or for future use. In bovine pericardium patch closure group, the mean total operating time was significantly shorter than autologous vein closure group (P< 0. The incidence of postoperative local complications including groin wound was less in bovine pericardium patch closure group.
The patients were followed with duplex scans in one month post- CEA and 6 months interval thereafter. During the follow- up period, three patients developed non- critical stenosis (two in bovine and one in vein patch), and one aneurysmal dilation occurred in vein patch group. The incidence of restenosis was similar in both groups. Although this is a preliminary report, it is concluded that the results of carotid angioplasty using bovine pericardium compare favorably with autologous vein.
Op Report Coding Blog. Code sample Op Reports and compare your answers to other coders. Post details: Carotid endarterectomy with Angioplasty 02/22/07. Carotid endarterectomy with Angioplasty. What Is Carotid Endarterectomy? Carotid endarterectomy (ka-ROT-id END-ar-ter-EK-to-me), or CEA, is a type of surgery that is used to prevent strokes in people who have carotid artery disease.
There is much controversy in the literature regarding the precise role of patch angioplasty in carotid endarterectomy. Our report summarizes the theoretical and experimental considerations, including the hemodynamic effects. Carotid patch angioplasty (with either a venous or a synthetic patch) may reduce the risk of carotid artery restenosis and subsequent ischaemic stroke. This is an update of a Cochrane Review originally published in. Counsell CE, Salinas R, Naylor R, Warlow CP. A systematic review of the randomised trials of carotid patch angioplasty in carotid endarterectomy. Eur J Vasc Endovasc Surg 1997; 13:345.
A standard carotid endarterectomy was performed removing the large amount of internal carotid artery plaque. The distal end point was tacked with. Prior to completion of the patch angioplasty the shunt was. The objective of this study was to assess the efficacy of bovine pericardium (BP) as a patch material in carotid endarterectomy (CEA) in terms of peri- and postoperative complications and the incidence of recurrent stenosis.
- Kim GE(1), Kwon TW, Cho YP, Kim DK, Kim HS. Author information: (1)Division of Vascular Surgery, University of Ulsan Medical College, Asan Medical Center, Seoul, South Korea.
- Cpt Code Endarterectomy Patch Angioplasty. Counsell CE, Salinas R, Naylor R, Warlow CP. A systematic review of the randomised trials of carotid patch angioplasty in carotid endarterectomy.
- Femoral Endarterectomy and Patch Angioplasty Femoral endarterectomy Patch angioplasty Plaque Plaque