Cochrane · systematic review · CD000071
Patches of different types for carotid patch angioplasty
Orrapin, S, Benyakorn, T, Howard, DPJ, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library
StrokeAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
21
current version
GRADE rated
15
No studies
6
Included studies
NR
No studies 6 · 28.6%Ungraded 0 · 0%Very low 9 · 42.9%Low 6 · 28.6%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Main comparison of synthetic patch versus vein patch angioplasty
Population: patients undergoing carotid endarterectomy, whether initial indication for endarterectomy was symptomatic or asymptomatic carotid disease
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Perioperative ipsilateral stroke (< 30 days) Main comparison of synthetic patch vs vein patch angioplasty | no estimate extracted | 4 studies · 590 participants | Very low Downgraded: risk of bias |
Perioperative combined stroke and TIA (< 30 days) Main comparison of synthetic patch vs vein patch angioplasty | no estimate extracted | NR | No studies |
Perioperative death from all causes (< 30 days) Main comparison of synthetic patch vs vein patch angioplasty | no estimate extracted | 4 studies · 609 participants | Very low Downgraded: risk of bias |
Long‐term ipsilateral stroke Main comparison of synthetic patch vs vein patch angioplasty | no estimate extracted | 3 studies · 500 participants | Very low Downgraded: risk of bias |
Long‐term any stroke Main comparison of synthetic patch vs vein patch angioplasty | no estimate extracted | 4 studies · 609 participants | Very low Downgraded: risk of bias |
Long‐term stroke or death Main comparison of synthetic patch vs vein patch angioplasty | no estimate extracted | 3 studies · 449 participants | Very low Downgraded: risk of bias |
Long‐term pseudoaneurysm formation Main comparison of synthetic patch vs vein patch angioplasty | no estimate extracted | 3 studies · 500 participants | Low Downgraded: risk of bias |
Main comparison of Dacron patch versus other synthetic patch angioplasty
Population: patients undergoing carotid endarterectomy, whether the initial indication for endarterectomy was symptomatic or asymptomatic carotid disease
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Perioperative ipsilateral stroke (< 30 days) Main comparison of Dacron patch vs other synthetic patch angioplasty | no estimate extracted | 2 studies · 400 participants | Very low Downgraded: risk of bias |
Perioperative combined stroke and TIA (< 30 days) Main comparison of Dacron patch vs other synthetic patch angioplasty | no estimate extracted | 1 study · 200 participants | Low Downgraded: risk of bias |
Perioperative death from all causes (< 30 days) Main comparison of Dacron patch vs other synthetic patch angioplasty | no estimate extracted | 2 studies · 400 participants | Very low Downgraded: risk of bias |
Long‐term ipsilateral stroke Main comparison of Dacron patch vs other synthetic patch angioplasty | no estimate extracted | 1 study · 200 participants | Very low Downgraded: risk of bias |
Long‐term any stroke Main comparison of Dacron patch vs other synthetic patch angioplasty | no estimate extracted | 1 study · 200 participants | Very low Downgraded: risk of bias |
Long‐term stroke or death Main comparison of Dacron patch vs other synthetic patch angioplasty | no estimate extracted | 1 study · 200 participants | Low Downgraded: risk of bias |
Long‐term pseudoaneurysm formation Main comparison of Dacron patch vs other synthetic patch angioplasty | no estimate extracted | NR | No studies |
Main comparison of bovine pericardium patch versus other synthetic patch angioplasty
Population: patients undergoing carotid endarterectomy, whether the initial indication for endarterectomy was symptomatic or asymptomatic carotid disease
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Perioperative ipsilateral stroke (< 30 days) Main comparison of bovine pericardium patch vs other synthetic patch angioplasty | no estimate extracted | NR | No studies |
Perioperative combined stroke and TIA (< 30 days) Main comparison of bovine pericardium patch vs other synthetic patch angioplasty | no estimate extracted | 1 study · 195 participants | Low Downgraded: risk of bias |
Perioperative death from all causes (< 30 days) Main comparison of bovine pericardium patch vs other synthetic patch angioplasty | no estimate extracted | 1 study · 195 participants | Low Downgraded: risk of bias |
Long‐term ipsilateral stroke Main comparison of bovine pericardium patch vs other synthetic patch angioplasty | no estimate extracted | 1 study · 195 participants | Low Downgraded: risk of bias |
Long‐term any stroke Main comparison of bovine pericardium patch vs other synthetic patch angioplasty | no estimate extracted | NR | No studies |
Long‐term stroke or death Main comparison of bovine pericardium patch vs other synthetic patch angioplasty | no estimate extracted | NR | No studies |
Long‐term pseudoaneurysm formation Main comparison of bovine pericardium patch vs other synthetic patch angioplasty | no estimate extracted | NR | No studies |