Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

A prospective randomized study on bilateral carotid endarterectomy: patching versus eversion.

E Ballotta1, L Renon, G Da Giau

  • 1Service of Vascular Surgery, University of Padua, School of Medicine, Padua, Italy. ballota@ux1.unipd.it

Annals of Surgery
|June 22, 2000
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Standalone Integrated Magnonic Devices.

Advanced materials (Deerfield Beach, Fla.)·2025
Same author

The Myth of "Reliable Research" in Pediatric Gender Medicine: A critical evaluation of the Dutch Studies-and research that has followed.

Journal of sex & marital therapy·2023
Same author

What Are We Doing to These Children? Response to Drescher, Clayton, and Balon Commentaries on Levine et al., 2022.

Journal of sex & marital therapy·2022
Same author

Reconsidering Informed Consent for Trans-Identified Children, Adolescents, and Young Adults.

Journal of sex & marital therapy·2022
Same author

Practice recommendations for neurovascular ultrasound investigations of acute stroke patients in the setting of the COVID-19 pandemic: an expert consensus from the European Society of Neurosonology and Cerebral Hemodynamics.

European journal of neurology·2020
Same author

Metastases to the thyroid gland: review of incidence, clinical presentation, diagnostic problems and surgery, our experience.

Journal of endocrinological investigation·2020
Same journal

Real-world Safety and Performance of the Symani Surgical System® in Microsurgical Reconstructive Procedures: Primary Results from the PRIMO Study.

Annals of surgery·2026
Same journal

Revisiting Simultaneous Liver and Kidney Transplantation from Donors After Circulatory Death in the Era of Machine Perfusion Technologies: A US Nationwide Analysis of 10,687 Cases.

Annals of surgery·2026
Same journal

The International Medical Graduate Paradox.

Annals of surgery·2026
Same journal

Defining the Incremental Value of Endoscopic Ultrasound in Assessing Pancreatic Cystic Neoplasms.

Annals of surgery·2026
Same journal

Trends in Metabolic and Bariatric Surgery and GLP-1 Receptor Agonist Use Among Adolescents with Severe Obesity.

Annals of surgery·2026
Same journal

The Ambulatory Surgery Center Paradox: Why 60% of Surgeries Occur Where 2% of AI Research Happens.

Annals of surgery·2026
See all related articles

Carotid eversion endarterectomy (CEE) shows better long-term results than carotid endarterectomy with patch closure (CEAP). CEE significantly reduces restenosis and neurologic complications, improving patient outcomes.

Area of Science:

  • Vascular Surgery
  • Cerebrovascular Disease Management
  • Surgical Outcomes Research

Background:

  • Limited direct comparative studies exist for carotid endarterectomy techniques within the same patient.
  • Understanding the comparative efficacy of carotid endarterectomy with patch closure (CEAP) versus carotid eversion endarterectomy (CEE) is crucial for optimizing patient care.

Purpose of the Study:

  • To directly compare the clinical outcomes and restenosis rates between CEAP and CEE performed sequentially in the same patient.
  • To evaluate the long-term efficacy and safety of CEE versus CEAP in preventing cerebrovascular events.

Main Methods:

  • A sequential, randomized surgical approach was used, with 86 patients undergoing either CEAP/CEE or CEE/CEAP.
  • Postoperative duplex ultrasound and clinical follow-up were conducted at regular intervals up to 40 months.

Related Experiment Videos

  • Kaplan-Meier analysis was employed to assess the risk of restenosis and cumulative patency rates.

    • Main Results:

    • CEE demonstrated a significantly lower incidence of restenosis and combined occlusive events compared to CEAP.
    • Freedom from restenosis at 36 months was 98% for CEE versus 83% for CEAP.
    • CEE showed a trend towards fewer perioperative neurologic complications, including transient ischemic attacks and strokes.

    Conclusions:

    • Carotid eversion endarterectomy (CEE) is associated with superior long-term patency and a lower risk of restenosis compared to carotid endarterectomy with patch closure (CEAP).
    • The findings suggest that local factors significantly influence restenosis occurrence, favoring the CEE technique.