Cochrane Review: Patches of different types for carotid patch angioplasty

Zusammenfassung

# Patches of different types for carotid patch angioplasty. ## BACKGROUND Extracranial carotid artery stenosis is the major cause of stroke, which can lead to disability and mortality. Carotid endarterectomy (CEA) with carotid patch angioplasty is the most popular technique for reducing the risk of stroke. Patch material may be made from an autologous vein, bovine pericardium, or synthetic material including polytetrafluoroethylene (PTFE), Dacron, polyurethane, and polyester. This is an update

Kerninformationen

versus venous patches, but that venous patches were associated with lower risk of perioperative stroke and early or late infection, or both. ## SEARCH METHODS We searched the Cochrane Stroke Group trials register (last searched 25 May 2020); the Cochrane Central Register of Controlled Trials (CENT...

-randomised trials (RCTs) comparing one type of carotid patch with another for CEA. ## DATA COLLECTION AND ANALYSIS Two review authors independently assessed eligibility, risk of bias, and trial quality; extracted data; and determined the quality of evidence using the GRADE approach. Outcomes, for...

domised to different treatment groups. Synthetic patch compared with vein patch angioplasty Vein patch may have little to no difference in effect on perioperative ipsilateral stroke between synthetic versus vein materials, but the evidence is very uncertain (odds ratio (OR) 2.05, 95% confidence inte...

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