The Role of Maintaining External Carotid Artery Flow in Graft Interposition After Carotid Endarterectomy
Institute for Cardiovascular Diseases Dedinje
250 participants
Jun 12, 2024
OBSERVATIONAL
Conditions
Summary
Analyzing results of carotid graft interposition with and without flow preservation through external carotid artery after endarterectomy.
Eligibility
Inclusion Criteria3
- symptomatic carotid stenosis (\> 50%)
- unilateral asymptomatic carotid stenosis (\> 60%)
- bilateral asymptomatic carotid stenosis (\> 60%)
Exclusion Criteria6
- carotid restenosis
- "major surgery" in previous 6 months
- previous brain trauma or surgery
- malignant disease
- epilepsy
- carotid artery aneurysm
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Interventions
In patients with extensive atherosclerotic carotid disease, when endarterectomy isn't feasible, replacement of the carotid artery with a graft is needed. Graft interposition can be performed either by end-to-end proximal and distal anastomoses in the undiseased common and internal carotid artery with ligation of the external carotid artery, or by side-to-end proximal anastomosis on the origin of the internal carotid artery and end-to-end distal anastomosis on the internal carotid artery with flow preservation in the external carotid artery.
Locations(1)
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NCT06528717