Abstract
Objectives
The main focus of this study is to evaluate the reliability and durability of saphenous
vein bypass grafting from common carotid artery to internal carotid artery (CBG) asan
alternative treatment of patients with carotid artery stenosis.
Methods
459 patients with carotid artery stenosis underwent initial carotid endarterectomy
(CEA) or CBG between 2009 and 2019. Propensity score matching was performed, and outcomes
of two different surgical procedures were analyzed.
Results
Outcomes of the 142 pairs of matched patients were investigated. There were no significant
differences in the preoperative characteristics of these matched groups. Overall mean
time of follow-up was 91.364 ± 3.265 months. Mortality rate during the follow-up period
was 18.309% (26 patients) in the CEA group, and 11.971% (17 patients) in the CBG group.
Stroke was encountered in 8 patients in the CEA group (5.63%), and 3 patients in the
CBG group (2.11%) during follow-up. Restenosis was detected in 11 patients in the
CEA group (7.75%), and 3 patients in the CBG group (3.52%) during follow-up. There
were no significant differences in the survival, stroke – free survival, and restenosis
- free survival distributions of both groups.
Conclusions
In carotid artery stenosis, it is reasonable to consider CBG as an alternative surgical
option when adequate disease-free inflow (common carotid artery) and outflow (distal
internal carotid artery) segments are present.
Key Words
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Article info
Publication history
Published online: December 04, 2022
Accepted:
November 8,
2022
Received in revised form:
November 7,
2022
Received:
August 11,
2022
Footnotes
This work was performed at the Department of Cardiovascular Surgery, University of Health Sciences, Bagcilar Training and Research Hospital , İstanbul, Turkey
Grant support: None.
Declarations of interest: None
Identification
DOI: https://doi.org/10.1016/j.jstrokecerebrovasdis.2022.106888
Copyright
© 2022 Elsevier Inc. All rights reserved.
