Mid- and long-term results of external jugular vein patch plasty in carotid endarterectomy

Caner Arslan; Kazım Beşirli; Berk Arapi; Safa Göde; Hasan Tüzün

doi:10.5606/tgkdc.dergisi.2016.11742

Mid- and long-term results of external jugular vein patch plasty in carotid endarterectomy

Caner Arslan¹, Kazım Beşirli¹, Berk Arapi¹, Safa Göde², Hasan Tüzün¹

¹Department of Cardiovascular Surgery, Medical Faculty of Cerrahpaşa University, İstanbul, Turkey
²Department of Cardiovascular Surgery, İstanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey

DOI : 10.5606/tgkdc.dergisi.2016.11742

Background: This study aims to report mid- and longterm results of external jugular vein patch plasty in carotid endarterectomy.

Methods: Twenty-three patients (14 males, 9 females, mean age 67.56 years; range 49 to 81 years) who underwent carotid endarterectomy with external jugular vein patch plasty within the past 12 years were routinely followed for neurological events and restenosis. After early control, duplex ultrasonography was added to the routine controls to detect restenosis.

Results: One patient died due to pneumonia and sepsis in the early period. Two patients died due to several causes which were not directly related to surgery in the late period. One patient had minor stroke; however, the operated carotid artery was not responsible for the event. Duplex ultrasonography showed mild to moderate restenoses in three asymptomatic patients (15%).

Conclusion: External jugular vein is a good alternative to saphenous vein and synthetic patching in multivascular atherosclerotic patients, in particular.

Keywords : Carotid endarterectomy; external jugular vein; patch plasty

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