Scientific journal
Научное обозрение. Медицинские науки
ISSN 2500-0780
ПИ №ФС77-57452

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THE IMPORTANCE OF PATCH MATERIAL CHOICE FOR THE ARTERIOTOMY HOLE PLASTY DURING CAROTID ENDARTERECTOMY

Fokin A.A. 1 Kuvatov A.V. 2
1 State Funded Educational Institution of Higher Professional Education «South Ural State Medical University» of the Ministry of Health of the Russian Federation
2 Federal State Funded Institution «Federal Center of Cardiovascular Surgery» of the Ministry of Health of the Russian Federation (Chelyabinsk)
This paper presents an analysis of the short- and long-term results of classical carotid endarterectomy with patch plasty of arteriotomy hole. The patch material was a criterion for the separation of all patients into two groups: the first, in which polytetrafluoroethylene patches had been used, and the second one - patch of autologous vein (a fragment of the great saphenous vein of the lower limb). In the short-term postoperative period no statistically significant differences in the incidence of various complications were found, so it was concluded that the material of the patch does not affect the immediate results of carotid endarterectomy. In the late period of time in the group with polytetrafluoroethylene patches the frequency of hemodynamically significant restenosis of the operated carotid artery was significantly higher (10.4% vs. 1.3 %, p < 0.01), which was the reason for the increased frequency of ischemic stroke in this group of patients (3.5% vs. 0 %, p < 0.01).