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

Mannheim 2005.

Methods R = sealed envelopes 
 Duplex and clinical FU unknown for blinding 
 Crossovers: none 
 Exclusions during trial: none 
 Patients lost to FU: unknown
Participants Israel 
 404 patients 
 422 operations 
 65.6% male 
 Mean age: 69.5 years 
 53.7% asymptomatic carotid disease 
 Comparability: sex, vascular risk factors, % asymptomatic disease similar in each group
Interventions Rx: polyester urethane patch angioplasty 
 Control: primary closure 
 Indication shunt for change in neurological status during carotid clamping or in patients in general anesthesia with stump pressure < 40 mmHg 
 Peri and postoperative aspirin: unknown
Outcomes Death < 30 days and end of FU 
 Stroke < 30 days and end of FU 
 Coronary event 
 Wound haemorrhage, infection, cranial nerve palsy 
 Restenosis > 50% or occlusion at end of FU (Duplex)
Notes Ex: small ICA or need for interposition graft 
 FU: 5 years
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk C ‐ Inadequate