Carotid endarterectomy without carotid patch：A therapeutic effect analysis of 87 cases        WANG Lin, WANG Bing, WU Fei, et al.  Department of Vascular Surgery, the Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou 450052，China
Corresponding author: WANG Bing, E-mail: hnxgwk@126.com
Abstract    Objective    To investigate the short-long term effect of carotid atherosclerotic stenosis (CASS) patients performed carotid endertarectomy (CEA) routinely without carotid patch. Methods    The clinical data of 87 cases of carotid artery stenosis underwent CEA routinely without carotid patch from July 2005 to December 2012 in the Fifth Affiliated Hospital of Zhengzhou University were analyzed retrospectively. The carotid artery restenosis and systemic conditions of patients were evaluated by color doppler flow imaging (CDFI) or CTA around the time of surgery and after 2 and 5 years follow-up. Results    The success rate of surgical cases was 100%. No constrictive carotid artery restenosis was found around the time of surgery. The rate of symptomatic and asymptomatic carotid artery restenosis was 1.1% & 3.3% and 2.2% & 5.4% after 2 and 5 years follow-up respectively. Conclusion    CEA without carotid patch can improve the safety of procedure and reduce the rate of postoperative complication effectively, and cannot be sure to increase the rate of carotid artery restenosis in short-long term follow-up.