Carotid Endarterectomy with Modified Eversion Technique: Results of a Single Center.

Annals of Vascular Surgery
Gian Franco VeraldiLuca Mezzetto

Abstract

Carotid endarterectomy (CEA) has a wide range of approaches based on personal expertise and preference. We evaluated our outcome with CEA with modified eversion technique (meCEA) under local anesthesia and whether the surgeon's experience could influence it. at our Institution, 837 patients underwent CEA across 8 years. Although the surgical technique was standardized, 2 groups were considered further: meCEA performed by a single Senior Operator (Group A) and meCEA performed by 4 young Consultants (Group B). A selective shunting policy was needed in 5.1%, together with general anesthesia. Overall operative time was 63.9 ± 15.1 minutes (61.4 ± 12.5 and 66 ± 16.9 minutes in Group A and Group B respectively; P < 0.001) and cross-clamp time 19.3 ± 2.9 minutes (19.0 ± 3.2 vs. 19.5 ± 2.8, P = 0.009). At 30 days, 0.7% TIA and 0.8% strokes were recorded. No differences (p = N.S.) between the 2 study groups in terms of postoperative neurological complications, with postoperative ipsilateral strokes always < 1%. At a median imaging follow-up of 22.5 months, the overall percentage of restenosis was 3.7%, with no difference between the 2 groups (P = 0.954). Twenty-two patients (2.6%) underwent reintervention for significant restenosis, and...Continue Reading

References

Sep 2, 1999·Stroke; a Journal of Cerebral Circulation·G G FergusonH J Barnett
Dec 26, 2001·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A R NaylorP R F Bell
Dec 2, 2004·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·J E Connolly
Jun 7, 2005·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·L A MalekP Domagala
Aug 8, 2007·Journal of Vascular Surgery·Paul A ArmstrongMartin R Back
Feb 16, 2008·Neurosurgical Focus·Jonathan Andrew Curtis, Kaj Johansen
Apr 29, 2010·JAMA : the Journal of the American Medical Association·Mike Mitka
Jul 6, 2010·The British Journal of Surgery·M GomesUNKNOWN GALA Collaborative Group
Dec 22, 2010·Annals of Vascular Surgery·Tze-Woei TanRobert B Patterson
May 26, 2011·Journal of Vascular Surgery·Carlos H TimaranFred Littooy
Sep 6, 2011·Journal of Vascular Surgery·John J RicottaUNKNOWN Society for Vascular Surgery
Mar 31, 2012·Journal of Vascular Surgery·Serdar DemirelDittmar Böckler
Jul 4, 2012·Annals of Vascular Surgery·Sanjay KumarJose Luis Trani
May 1, 2015·Journal of Vascular Surgery·Joseph R SchneiderUNKNOWN Society for Vascular Surgery Vascular Quality Initiative and the Mid-America Vascular Study Group
Jul 5, 2015·Journal of Vascular Surgery·Laura PasinAlberto Zangrillo
Sep 9, 2015·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·K I ParaskevasA R Naylor
Dec 25, 2016·Journal of Vascular Surgery·Richard McBrideHaytham Al-Khaffaf
Mar 11, 2017·Annals of Vascular Surgery·Scott E MusicantShelley J Berthiaume
Aug 31, 2017·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A R NaylorM Venermo
Aug 31, 2017·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Victor AboyansJose Luis Zamorano
Mar 5, 2018·Annals of Vascular Surgery·Fábio Hüsemann MenezesGiovani José Dal Poggetto Molinari
Jul 25, 2018·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Michele PiazzaMichele Antonello
Sep 24, 2018·Journal of Cardiothoracic and Vascular Anesthesia·Obaid S MalikRichard D Urman

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Citations

Jun 10, 2021·VASA. Zeitschrift für Gefässkrankheiten·Mario D'OriaSandro Lepidi

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