Bovine Pericardium vs Dacron for Patch Angioplasty After Carotid Endarterectomy. Proponents of autologous vein patch angioplasty claim a lower incidence of postoperative thrombosis due to the presence of an intact endothelial surface, inherent suppleness that allows for better approximation to the arterial edge without kinking, immediate sealing of suture holes thereby decreasing the incidence of suture line bleeding and postoperative cervical wound hematoma, resistance to infection, and no additional cost for synthetic material. Despite these advantages, autologous vein patch angioplasty usually requires a separate harvest procedure, increasing the operative time and risk of postoperative morbidity (eg, pain, bleeding, wound infection, delay in ambulation, and hospital stay), which may render the remaining vein unusable for future coronary or peripheral bypass procedures and has a 0% to 4% risk of central vein patch rupture, which usually results in death. However, they may be associated with a higher incidence of postoperative thrombosis and infection, are relatively nonconformable, are associated with increased suture line bleeding and cervical wound hematoma, and, finally, incur the additional cost of the synthetic material. Bovine pericardium exhibits all the advantages of autogenous and synthetic materials without any of the disadvantages, except for the minimal additional cost of the material itself, which is essentially identical to the other synthetic materials currently available. Despite use in cardiac thoracic and neurosurgery for more than 2 decades with excellent results, BP has only recently been introduced for use in arterial reconstruction of the carotid, renal, and peripheral vessels.
A 66-year-old white male (Table I, Patient 2) presented with swelling in his right neck 6 weeks after a right carotid endarterectomy completed by Dacron patch angioplasty. On postoperative examination, this was thought to be a.Patches for Carotid Artery Endarterectomy: Current Materials and Prospects. Dacron patch infection after carotid endarterectomy. Research from JAMA Surgery — Bovine Pericardium vs Dacron for Patch Angioplasty After Carotid Endarterectomy — A Prospective Randomized Study. Williams; Division of Vascular Surgery, Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. 2016 Annual Symposium: Dacron Patch Infection Following Remote History of Carotid Endarterectomy with Patch Angioplasty. Register and Claim Your Subscription. Subscribe; Articles & Issues. Carotid artery Dacron patch graft angioplasty: a ten-year experience. Schultz GA(1), Zammit M, Sauvage LR, Spencer MP, Kowalsky TE, Goff SG, Smith JC. Doctor insights on: Dacron Patch Angioplasty Share Share Follow @HealthTap </> Embed Dr. Munshower 8 doctors agreed: 1 1 I had an angioplasty what should I eat and what should I not eat?
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January 2017
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