To patch or not to patch: is that the real question? The role of hemodynamics in carotid endarterectomy. Illustrative cases

This study suggests that the question may not be "To patch or not to patch?" but rather "Is the restoration of the anatomical bulb shape beneficial or deleterious?" It sheds light on the hemodynamic implications of this procedure and provides insight into the ongoing debate surrounding CEA. Using a patch might not necessarily result in improved flow or more favorable outcomes; thus, restoration of the carotid bulb configuration postendarterectomy might not optimize the hemodynamic profile for patients, but rather, a simple tubular shape, without a patch, might offer the best solution. https://thejns.org/doi/10.3171/CASE24840.