Our midterm restenosis results using patch angioplasty closure versus primary closure in patients undergoing carotid endarterectomy: A comparative study

Objectives: This study aims to compare midterm results of patch angioplasty with primary closure techniques in patients undergoing carotid endarterectomy (CEA) in terms of restenosis. Patients and methods: This prospective, single-center, randomized study included a total of 137 patients (42 females, 95 males; mean age 64.4±8.8 years; range 36 to 86 years) who underwent CEA between January 2010 and October 2015. The patients were divided into two groups: the patch angioplasty group (n=70) and the primary closure group (n=67). The mean follow-up was 2-7 years. Carotid computed tomography angiography was performed to evaluate restenosis. Restenosis was defined as a lesion of >70% in diameter. Results: During midterm follow-up, there was no statistically significant difference in the restenosis rate between the two surgical closure techniques (p=0.729). Conclusion: Our study results show that the restenosis rate is similar using both closure techniques in patients undergoing CEA.