Nicholas J. Madden, Douglas A. Troutman, Arthur J. DeMarsico. Use of a Small Intestine Submucosa Extracellular Matrix Patch in Repeated Carotid Endarterectomy. J Am Osteopath Assoc 2014;114(9):732–734. doi: 10.7556/jaoa.2014.143.
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Various patches have been described in the literature for patients undergoing carotid endarterectomy. In the present report, the authors present the case of a 71-year-old woman who had bilateral carotid endarterectomies 17 years earlier and greater than 80% restenosis of the right internal carotid artery. The patient underwent a repeated right carotid endarterectomy using a small intestine submucosa extracellular matrix patch for closure of the arteriotomy. Given the unique biologic properties of the small intestine submucosa patch and the technical advantages associated with its use for patch angioplasty, further studies to define its efficacy are warranted.
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