This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Carotid endarterectomy with polyurethane patch versus primary closure: a prospective randomized study. J Vasc Surg 2005; 41: 403-407.

Published: 1st January 2005

Authors: Mannheim D, Weller B, Vahadim E, Karmeli R.

Conclusion

Perioperative stroke and death rates were similar (1.9 vs. 3.9 per cent, P=0.21), but the rate of residual stenosis after three months was significantly reduced by patch angioplasty (1.1 vs. 8.9 per cent, P=0.001) in this study that included 404 procedures.

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