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[Eversion carotid endarterectomy for carotid stenosis].

Chang-jian Liu1, Dian Huang, Wei Wang

  • 1Department of Vascular Surgery, Affiliated Gulou Hospital, Medical College of Nanjing University, Nanjing 210008, China. dr_cjliu@hotmail.com

Zhonghua Wai Ke Za Zhi [Chinese Journal of Surgery]
|April 28, 2005
PubMed
Summary

Eversion carotid endarterectomy (eCEA) is a safe and effective surgical treatment for carotid stenosis, with no perioperative strokes or deaths. This technique improved symptoms of cerebral ischemia in patients with carotid artery disease.

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Area of Science:

  • Vascular Surgery
  • Cerebrovascular Disease
  • Surgical Techniques

Context:

  • Carotid stenosis poses a significant risk of stroke.
  • Traditional carotid endarterectomy has established efficacy.
  • Eversion carotid endarterectomy (eCEA) offers an alternative surgical approach.

Purpose:

  • To evaluate the safety and efficacy of eversion carotid endarterectomy (eCEA) for treating carotid stenosis.
  • To assess perioperative outcomes and symptom resolution following eCEA.

Summary:

  • Twenty-four patients with significant carotid stenosis (65%-95%) underwent eCEA under regional anesthesia.
  • Preoperative imaging included duplex ultrasound and angiography (DSA, CT, or MRA).
  • The eversion technique involved transecting and everting the internal carotid artery to remove plaque.

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Impact:

  • No perioperative mortality or stroke was observed.
  • Transient ischemic attacks resolved, and cerebral ischemia symptoms improved in most patients.
  • eCEA demonstrated universal applicability, safety, and durability as an operative technique.