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

Eikelboom 1988.

Methods R = odd/even hospital number (patients randomised) 
 Duplex blind, clinical FU not blind 
 Crossovers: 3 primary closure to patch, 3 patch to primary closure (all analysed in original group) 
 Exclusion during trial: none 
 Patients lost to FU: 10 patch, 7 no patch
Participants The Netherlands 
 126 patients 
 129 operations 
 73% male 
 Mean age: 63 years 
 18% asymptomatic carotid disease 
 All arteries > 60% stenosis 
 Comparability: age, sex, vascular risk factors, % asymptomatic disease were similar in each group
Interventions Rx: saphenous vein patch 
 Control: primary closure 
 20% shunted 
 Postoperative warfarin +/‐ antiplatelet for all
Outcomes Deaths < 30 days and end of FU 
 Strokes < 30 days and end of FU 
 Perioperative occlusion (intravenous DSA) 
 Wound haemorrhage 
 Restenosis > 50% or occlusion at end of FU (Duplex and intravenous DSA)
Notes Ex: simultaneous cardiac surgery 
 FU: mean 5 years
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? High risk C ‐ Inadequate