• Sensen Wu, Hui Wang, Julong Guo, Fan Zhang, Dikang Pan, Yachan Ning, Yongquan Gu, and Lianrui Guo.
• Department of Vascular Surgery, Xuanwu Hospital, Capital Medical University, Beijing, China.
• World Neurosurg. 2024 Apr 1; 184: e340e345e340-e345.

ObjectiveTo compare perioperative and long-term safety and effectiveness between conventional carotid endarterectomy (cCEA) and patch carotid endarterectomy (pCEA) under current medical conditions.MethodsData on baseline characteristics as well as perioperative and long-term postoperative complications from patients who underwent cCEA or pCEA at the Department of Vascular Surgery, Xuanwu Hospital of Capital Medical University, from 2013 to 2022, were retrospectively collected and analyzed.ResultsA total of 248 CEA patients were included in our study. The majority of patients (87.3%) were male, and mean age was 63.6 ± 7.6 (range, 40-81) years; 104 patients (41.9%) underwent cCEA, while 144 (58.1%) underwent pCEA. Between the cCEA and pCEA groups, there were no significant differences in clinical baseline characteristics, occurrence of perioperative or long-term (median, 42.5 [range, 7 to 120] months) complications, and survival whether restenosis-free, asymptomatic or overall.ConclusionsIn a single-center experience, conventional and patch CEA approaches appear similarly safe and effective.Copyright © 2024 Elsevier Inc. All rights reserved.

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