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Brain & Heart Bovine pericardial patching in CEA

both the peri- and post-operative periods. These findings References
demonstrate that the BP patch is non-inferior to the 1. Bonati LH, Jansen O, de Borst GJ, Brown MM. Management
existing polyurethane patch, supporting their potential use of atherosclerotic extracranial carotid artery stenosis. Lancet
during CEA. Subsequent studies with larger sample sizes Neurol. 2022;21:273-283.
are still needed to demonstrate its long-term efficacy.
doi: 10.1016/s1474-4422(21)00359-8
Acknowledgments 2. Liesker DJ, Gareb B, K22(21)0035et al. Similar long-term
None. outcomes for venous, bovine pericardial, and polyester
patches for primary carotid endarterectomy. World J Surg.
Funding 2024;48:758-766.

The trial BP patches were provided free of charge for the doi: 10.1002/wjs.12090
trial by Beijing Balance Medical Technology Co., Ltd., 3. Halliday A, Harrison M, Hayter E, et al. 10-year stroke
China, which was the sponsor of this trial but had no role prevention after successful carotid endarterectomy for
in design, conduct, and report of the trial. asymptomatic stenosis (ACST-1): A multicentre randomised
Conflict of interest trial. Lancet (London, England). 2010;376:1074-1084.

The authors declare that they have no competing interests. doi: 10.1016/s0140-6736(10)61197-x
4. Barnett HJ, Taylor DW, Eliasziw M, et al. Benefit of carotid
Author contributions endarterectomy in patients with symptomatic moderate
or severe stenosis. North American Symptomatic Carotid
Conceptualization: Liqun Jiao, Yanfei Chen Endarterectomy Trial Collaborators. N Engl J Med.
Formal analysis: Yao Feng, Daqiao Guo 1998;339:1415-1425.
Investigation: All authors
Methodology: Yanfei Chen, Yao Feng doi: 10.1056/nejm199811123392002
Writing – original draft: Yanfei Chen, Yao Feng. 5. Aboyans V, Ricco JB, Bartelink ME, et al. 2017 ESC
Writing – review & editing: Yabo Huang, Liyong Zhang, Guidelines on the Diagnosis and Treatment of Peripheral
Zhen Li, Daqiao Guo, Liqun Jiao Arterial Diseases, in collaboration with the European
Society for Vascular Surgery (ESVS): Document covering
Ethics approval and consent to participate atherosclerotic disease of extracranial carotid and
vertebral, mesenteric, renal, upper and lower extremity
The study protocol was approved by the ethics committees arteriesEndorsed by: The European Stroke Organization
at each of the five tertiary centers (including Xuanwu (ESO)The Task Force for the Diagnosis and Treatment of
Hospital, Capital Medical University [Department of Peripheral Arterial Diseases of the European Society of
Neurosurgery]; Zhongshan Hospital, Fudan University Cardiology (ESC) and of the European Society for Vascular
[Department of Vascular Surgery]; the First Affiliated Surgery (ESVS). Eur Heart J. 2018;39:763-816.
Hospital of Soochow University [Department of doi: 10.1093/eurheartj/ehx095
Neurosurgery]; Liaocheng People’s hospital [Department
of Neurosurgery]; and the First Affiliated Hospital of 6. Zaza SI, Bennett KM. The role of patch closure in current-day
carotid endarterectomy. J Vasc Surg. 2023;77:170-175.e172.
Zhengzhou University [Department of Vascular Surgery])
and informed consent was obtained from each patient. doi: 10.1016/j.jvs.2022.08.003
7. AbuRahma AF, Avgerinos ED, Chang RW, et al. The
Consent for publication Society for Vascular Surgery implementation document for
All images used in this study were anonymized; hence, management of extracranial cerebrovascular disease. J Vasc
consent for publication was waived. Surg. 2022;75:26s-98s.
doi: 10.1016/j.jvs.2021.04.074
Availability of data
8. Edenfield L, Blazick E, Healey C, et al. Long-term impact
The data used in this study will be made available on of the Vascular Study Group of New England carotid patch
request to the corresponding authors. quality initiative. J Vasc Surg. 2019;69:1801-1806.
doi: 10.1016/j.jvs.2018.07.078
Further disclosure
9. Orrapin S, Benyakorn T, Siribumrungwong B, Rerkasem K.
Trial registration: Chinese Clinical Trial Registry Patch angioplasty versus primary closure for carotid
ChiCTR2300075538 (https://www.chictr.org.cn/bin/ endarterectomy. Cochrane Database Syst Rev.
project/edit?pid=120172). 2022;8:Cd000160.

Volume 3 Issue 1 (2025) 7 doi: 10.36922/bh.4568