{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T20:49:25Z","timestamp":1782852565814,"version":"3.54.5"},"reference-count":32,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"National High Level Hospital Clinical Research Funding","award":["No. 2023SF03"],"award-info":[{"award-number":["No. 2023SF03"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Science Progress"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the intraoperative efficiency and long-term outcomes of clip-assisted primary closure versus conventional suturing in classic carotid endarterectomy (CEA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This single-center retrospective cohort study included 46 classic CEA procedures in 45 patients treated between 2013 and 2019. Procedures were divided into a clip group (n = 15) and a suture group (n = 31). The primary endpoints were carotid clamping time and intraoperative blood loss. Secondary endpoints included operative time, postoperative drainage volume, perioperative stroke, long-term stroke incidence, and all-cause mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The clip group had a significantly shorter carotid clamping time than the suture group (12.67 \u00b1 5.74 min vs. 18.26 \u00b1 7.84 min, P = 0.048) and significantly lower intraoperative blood loss (38.00 \u00b1 18.97 mL vs. 56.77 \u00b1 23.01 mL, P = 0.010). No statistically significant between-group differences were observed in total operative time, postoperative drainage volume, perioperative stroke, long-term stroke incidence, or all-cause mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this exploratory retrospective cohort study, clip-assisted primary closure during classic CEA was associated with shorter carotid clamping time and lower intraoperative blood loss than conventional suturing. No signal of increased perioperative or long-term adverse outcomes was detected; however, the study was not powered to establish equivalence or non-inferiority for rare safety endpoints. These findings support the technical feasibility of clip-assisted primary closure in selected patients, but larger prospective studies are needed to further evaluate its safety and long-term effectiveness.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00368504261442730","type":"journal-article","created":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T12:40:33Z","timestamp":1775652033000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Vascular clips for primary closure in classic carotid endarterectomy: A 5-year exploratory retrospective cohort study"],"prefix":"10.1177","volume":"109","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3814-2616","authenticated-orcid":false,"given":"Kang","family":"She","sequence":"first","affiliation":[{"name":"Peking University First Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5683-0279","authenticated-orcid":false,"given":"Xiansheng","family":"Zhang","sequence":"additional","affiliation":[{"name":"Peking University First Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhengheng","family":"Yu","sequence":"additional","affiliation":[{"name":"Chinese Academy of Medical Sciences and Peking Union Medical College"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Yin","sequence":"additional","affiliation":[{"name":"Peking University First Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gong","family":"Cheng","sequence":"additional","affiliation":[{"name":"Peking University First Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,8]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)30427-1"},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2014.06.012"},{"key":"e_1_3_7_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/096721090100900603"},{"key":"e_1_3_7_5_2","unstructured":"Zeebregts CJ Kirsch WM. 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