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Eversion carotid endarterectomy.

T A Iseli1, V Puttaswamy, W A Campbell

  • 1Department of Vascular Surgery, Royal Melbourne Hospital, Victoria, Australia. iselitim@hotmail.com

ANZ Journal of Surgery
|September 13, 2001
PubMed
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Eversion carotid endarterectomy (ECEA) offers a safe alternative to standard procedures, demonstrating low stroke and restenosis rates in Australian patients. This technique simplifies carotid endarterectomy with comparable or improved outcomes.

Area of Science:

  • Vascular Surgery
  • Cerebrovascular Disease Management
  • Surgical Technique Innovation

Background:

  • Eversion carotid endarterectomy (ECEA) avoids traditional arteriotomy and patch closure.
  • ECEA is associated with low rates of stroke and restenosis.

Purpose of the Study:

  • To report the Australian experience and technique of ECEA.
  • To evaluate the safety and efficacy of ECEA in a clinical setting.

Main Methods:

  • Retrospective review of patients undergoing ECEA between October 1997 and July 2000.
  • Clinical follow-up and duplex ultrasound assessment were performed.
  • Detailed description of the ECEA surgical technique.

Main Results:

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  • 152 ECEA procedures were performed, with 13 combined with coronary artery bypass grafting (CABG).
  • The combined perioperative stroke and death rate was 2% (0.65% excluding CABG cases), lower than the Victorian standard of 2.9%.
  • Significant restenosis occurred in 2.6% of patients after a mean follow-up of 21.7 months.

    • Conclusions:

    • Eversion carotid endarterectomy (ECEA) is a simple and safe alternative to standard carotid endarterectomy.
    • The technique demonstrates favorable outcomes regarding stroke and restenosis.