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. 2009 Oct 7;2009(4):CD000160. doi: 10.1002/14651858.CD000160.pub3

Lord 1989.

Methods R = sealed envelopes (artery randomised) 
 Probably neither duplex nor clinical FU blind 
 Crossovers: 4 (unclear which group these were in) 
 Exclusions during trial: 4 crossovers 
 Patients lost to FU: none
Participants Australia 
 123 patients 
 140 operations. 
 62% male 
 Mean age: 63 years 
 % asymptomatic carotid disease unknown 
 Comparability: age, sex, vascular risk factors, % symptomatic disease similar in each group
Interventions Rx: saphenous vein patch or polytetrafluoroethylene patch (random allocation) 
 Control: primary closure 
 17% shunted 
 Postoperative aspirin for all
Outcomes Ipsilateral stroke < 30 days 
 Perioperative occlusion (intravenous DSA) 
 Wound haemorrhage
Notes Ex: unknown 
 FU: until hospital discharge
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Low risk A ‐ Adequate