The international surgical journal with global reach

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

Systematic review of randomized controlled trials of patch angioplasty versus primary closure and different types of patch materials during carotid endarterectomy. J Vasc Surg 2004; 40: 1126-1135.

Published: 1st January 2004

Authors: Bond R, Rerkasem K, Naylor AR, AbuRahma AF, Rothwell PM.

Conclusion

Thirteen trials containing nearly 3000 procedures were analysed. Patching reduced the rate of perioperative stroke (P=0.004), the risk of carotid occlusion (P=0.0001) and the rate of recurrent stenosis (P<0.0001). Seven trials showed no effect from patch type, but one reported worse results for polytetrafluoroethylene compared with Dacron patches.

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