{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T13:15:13Z","timestamp":1777727713464,"version":"3.51.4"},"reference-count":21,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2022,4,1]],"date-time":"2022-04-01T00:00:00Z","timestamp":1648771200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The long-term outcomes of primary carotid artery closure after carotid endarterectomy (CEA) have not been sufficiently studied. This prospective study was performed to analyze the 5-year outcomes of the non-shunting and primary arterial repair technique for CEA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study involved 150 patients who underwent CEA with the primary arterial closure technique without arterial shunting and completed 5 years of follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The patients comprised 107 men and 43 women. The 30-day postoperative course was uneventful in 147 (98.0%) patients; however, cerebrovascular accidents occurred in 3 (2.0%) patients. With respect to the long-term results, most cases of restenosis at 5 years were &lt;50%. Two patients developed asymptomatic total internal carotid artery occlusion. Eleven deaths occurred (mortality rate of 7.3%); one death (0.7%) occurred in the first 30 days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Primary arteriotomy closure provides very good long-term patency. Routine use of patch closure is unnecessary.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03000605221076925","type":"journal-article","created":{"date-parts":[[2022,4,15]],"date-time":"2022-04-15T00:42:32Z","timestamp":1649983352000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Five-year outcome of non-shunting and primary closure technique during carotid endarterectomy: a longitudinal cohort study"],"prefix":"10.1177","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9217-1189","authenticated-orcid":false,"given":"Aram","family":"Baram","sequence":"first","affiliation":[{"name":"Professor of Cardiovascular and Thoracic Surgery, Department of Surgery, College of Medicine, University of Sulaimani, Department of Thoracic and Cardiovascular Surgery, Sulaimani Shar Teaching Hospital, Al Sulaymaniyah, Iraq\/Kurdistan region"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zana A.","family":"Mohammed","sequence":"additional","affiliation":[{"name":"Consultant Neurologist, Department of Medicine, College of Medicine, University of Sulaimani, Department of Neurology, Sulaimani Shar Teaching Hospital, Al Sulaymaniyah, Iraq\/Kurdistan region"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8795-7694","authenticated-orcid":false,"given":"Sarwer Jamal","family":"Al-Bajalan","sequence":"additional","affiliation":[{"name":"Consultant Neurologist, Department of Medicine, College of Medicine, University of Sulaimani, Department of Neurology, Sulaimani Shar Teaching Hospital, Al Sulaymaniyah, Iraq\/Kurdistan region"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fitoon","family":"Falah","sequence":"additional","affiliation":[{"name":"Cardiovascular Surgeon, Slemani Center for Heart Disease, Slemani Directorate of Health, Ministry 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