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Vascular ; 31(1): 83-89, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-34971332

RESUMO

OBJECTIVES: This study describes an alternative carotid bifurcation endarterectomy technique in which the external carotid artery is used as a suture patch. METHODS: Charts of ten patients with atherosclerotic carotid stenosis that were treated using the neobulb technique between 2002 and 2019 were reviewed. RESULTS: No major surgical adverse event was observed in the postoperative assessments. No postoperative common or internal carotid stenosis was observed in the mid- or long-term follow-up. CONCLUSIONS: The neobulb technique allows carotid endarterectomy closure without a synthetic or venous patch, using the external carotid artery as an autologous patch, while preserving distal flow into the external carotid artery branches.


Assuntos
Estenose das Carótidas , Endarterectomia das Carótidas , Humanos , Endarterectomia das Carótidas/efeitos adversos , Endarterectomia das Carótidas/métodos , Estenose das Carótidas/diagnóstico por imagem , Estenose das Carótidas/cirurgia , Estenose das Carótidas/etiologia , Artéria Carótida Externa/diagnóstico por imagem , Artéria Carótida Externa/cirurgia , Endarterectomia , Artéria Carótida Interna/diagnóstico por imagem , Artéria Carótida Interna/cirurgia
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