For decades, carotid endarterectomy has been the golden standard for the management of severe carotid artery stenosis. However, several techniques have been proposed till date, and there has been a long-lasting debate concerning the proper method. Several research studies have been conducted not only evaluating the role of patch suturing versus that of primary carotid closure, but also comparing the advantages and disadvantages of different patch materials. Both synthetic and venous patches have been utilized, each with specific features and effects on postoperative outcomes. This editorial aims to summarize basic characteristics of each technique, current guidelines recommendations and pooled research data on this subject, and produce conclusions for everyday clinical practice.
George Galyfos
Journal of Vascular and Endovascular Therapy received 177 citations as per google scholar report