L'endoarteriectomia carotidea mediante sutura diretta

Translated title of the contribution: Carotid artery endarterectomy followed by direct suture

S. Costantini, C. Novali, E. Costantini, G. Lanza, P. M. Locati

Research output: Contribution to journalArticle

Abstract

The authors report the surgical technique and their experience in direct suture of arterial wall during carotid endarterectomies, comparing their results with reported data from literature. Selective or routinally utilization of direct suture or patch angioplasty are still a matter of discussion and reports from literature are controversial. In the Vascular Surgery Division of Busto Arsizio Hospital from January 1982 to December 1995, 870 carotid endarterectomies have been performed; direct arterial wall suture has been done in the 95.5% of these. The mean follow-up is 72 months, the restenosis rate is 6.6%, but only the 0.7% of the cases required a new surgical intervention with a patch angioplasty. From these data and according to the reports of international literature, we can assume that the use of a patch or direct arterial wall reconstruction, is a factor of less influence on restenosis rate than systemic or local factors (intimai flaps, surgical mistakes). Carotid endarterectomy has to be performed with great accuracy, in order to avoid surgical mismanagements which could negatively influence on early and late results.

Original languageItalian
Pages (from-to)479-482
Number of pages4
JournalAnnali Italiani di Chirurgia
Volume68
Issue number4
Publication statusPublished - Jul 1997

Fingerprint

Carotid Endarterectomy
Carotid Arteries
Sutures
Angioplasty
Surgical Flaps
Blood Vessels

ASJC Scopus subject areas

  • Surgery

Cite this

Costantini, S., Novali, C., Costantini, E., Lanza, G., & Locati, P. M. (1997). L'endoarteriectomia carotidea mediante sutura diretta. Annali Italiani di Chirurgia, 68(4), 479-482.

L'endoarteriectomia carotidea mediante sutura diretta. / Costantini, S.; Novali, C.; Costantini, E.; Lanza, G.; Locati, P. M.

In: Annali Italiani di Chirurgia, Vol. 68, No. 4, 07.1997, p. 479-482.

Research output: Contribution to journalArticle

Costantini, S, Novali, C, Costantini, E, Lanza, G & Locati, PM 1997, 'L'endoarteriectomia carotidea mediante sutura diretta', Annali Italiani di Chirurgia, vol. 68, no. 4, pp. 479-482.
Costantini S, Novali C, Costantini E, Lanza G, Locati PM. L'endoarteriectomia carotidea mediante sutura diretta. Annali Italiani di Chirurgia. 1997 Jul;68(4):479-482.
Costantini, S. ; Novali, C. ; Costantini, E. ; Lanza, G. ; Locati, P. M. / L'endoarteriectomia carotidea mediante sutura diretta. In: Annali Italiani di Chirurgia. 1997 ; Vol. 68, No. 4. pp. 479-482.
@article{283b4e0138174ad9826af6102635df76,
title = "L'endoarteriectomia carotidea mediante sutura diretta",
abstract = "The authors report the surgical technique and their experience in direct suture of arterial wall during carotid endarterectomies, comparing their results with reported data from literature. Selective or routinally utilization of direct suture or patch angioplasty are still a matter of discussion and reports from literature are controversial. In the Vascular Surgery Division of Busto Arsizio Hospital from January 1982 to December 1995, 870 carotid endarterectomies have been performed; direct arterial wall suture has been done in the 95.5{\%} of these. The mean follow-up is 72 months, the restenosis rate is 6.6{\%}, but only the 0.7{\%} of the cases required a new surgical intervention with a patch angioplasty. From these data and according to the reports of international literature, we can assume that the use of a patch or direct arterial wall reconstruction, is a factor of less influence on restenosis rate than systemic or local factors (intimai flaps, surgical mistakes). Carotid endarterectomy has to be performed with great accuracy, in order to avoid surgical mismanagements which could negatively influence on early and late results.",
keywords = "Carotid, Endarterectomy, Suture",
author = "S. Costantini and C. Novali and E. Costantini and G. Lanza and Locati, {P. M.}",
year = "1997",
month = "7",
language = "Italian",
volume = "68",
pages = "479--482",
journal = "Annali Italiani di Chirurgia",
issn = "0003-469X",
publisher = "Edizioni Luigi Pozzi S.r.l.",
number = "4",

}

TY - JOUR

T1 - L'endoarteriectomia carotidea mediante sutura diretta

AU - Costantini, S.

AU - Novali, C.

AU - Costantini, E.

AU - Lanza, G.

AU - Locati, P. M.

PY - 1997/7

Y1 - 1997/7

N2 - The authors report the surgical technique and their experience in direct suture of arterial wall during carotid endarterectomies, comparing their results with reported data from literature. Selective or routinally utilization of direct suture or patch angioplasty are still a matter of discussion and reports from literature are controversial. In the Vascular Surgery Division of Busto Arsizio Hospital from January 1982 to December 1995, 870 carotid endarterectomies have been performed; direct arterial wall suture has been done in the 95.5% of these. The mean follow-up is 72 months, the restenosis rate is 6.6%, but only the 0.7% of the cases required a new surgical intervention with a patch angioplasty. From these data and according to the reports of international literature, we can assume that the use of a patch or direct arterial wall reconstruction, is a factor of less influence on restenosis rate than systemic or local factors (intimai flaps, surgical mistakes). Carotid endarterectomy has to be performed with great accuracy, in order to avoid surgical mismanagements which could negatively influence on early and late results.

AB - The authors report the surgical technique and their experience in direct suture of arterial wall during carotid endarterectomies, comparing their results with reported data from literature. Selective or routinally utilization of direct suture or patch angioplasty are still a matter of discussion and reports from literature are controversial. In the Vascular Surgery Division of Busto Arsizio Hospital from January 1982 to December 1995, 870 carotid endarterectomies have been performed; direct arterial wall suture has been done in the 95.5% of these. The mean follow-up is 72 months, the restenosis rate is 6.6%, but only the 0.7% of the cases required a new surgical intervention with a patch angioplasty. From these data and according to the reports of international literature, we can assume that the use of a patch or direct arterial wall reconstruction, is a factor of less influence on restenosis rate than systemic or local factors (intimai flaps, surgical mistakes). Carotid endarterectomy has to be performed with great accuracy, in order to avoid surgical mismanagements which could negatively influence on early and late results.

KW - Carotid

KW - Endarterectomy

KW - Suture

UR - http://www.scopus.com/inward/record.url?scp=0031174188&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031174188&partnerID=8YFLogxK

M3 - Articolo

VL - 68

SP - 479

EP - 482

JO - Annali Italiani di Chirurgia

JF - Annali Italiani di Chirurgia

SN - 0003-469X

IS - 4

ER -