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

Katz 1994.

Methods R = odd/even social security number (patients randomised) 
 Neither duplex nor clinical FU blind 
 Crossovers: none 
 Exclusions during trial: none 
 Patients lost to FU: 12 in total
Participants USA 
 87 patients 
 100 operations 
 56% male 
 Mean age: 67 years 
 40% asymptomatic carotid disease 
 Comparability: age, sex, vascular risk factors, % asymptomatic disease were similar in each group
Interventions Rx: polytetrafluoroethylene patch 
 Control: primary closure 
 Routine shunting for all 
 Postoperative aspirin (325 mg) for all
Outcomes Death < 30 days and end of FU 
 Stroke < 30 days and end of FU 
 Perioperative occlusion (Duplex) 
 Wound haemorrhage, infection, cranial nerve palsy 
 Restenosis > 50% or occlusion at end of FU (Duplex)
Notes Ex: previous endarterectomy, simultaneous cardiac surgery, internal carotid artery diameter < 3.5 mm 
 FU: mean 29 months
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? High risk C ‐ Inadequate