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Eversion endarteriectomy of the internal carotid artery
1Department of Vascular Surgery, Municipal Hospital, Düsseldorf, Germany.
The Thoracic and Cardiovascular Surgeon
|December 1, 1991
Summary
Eversion endarteriectomy is a safe and effective surgical technique for internal carotid artery disease. This method demonstrates low perioperative morbidity and no mortality, making it suitable for various patient conditions.
Area of Science:
- Vascular Surgery
- Neurological Surgery
Background:
- Internal carotid artery stenosis and ulceration pose significant risks for stroke.
- Surgical intervention is often necessary to prevent cerebrovascular events.
Purpose of the Study:
- To present the detailed surgical technique of eversion endarteriectomy.
- To evaluate the perioperative outcomes of this procedure in a series of patients.
Main Methods:
- Detailed description of the eversion endarteriectomy surgical technique.
- Perioperative assessment of 60 consecutive surgical cases.
Main Results:
- A low perioperative morbidity rate of 1.6% (temporary neurological deficit) was observed.
- No lethal outcomes were recorded in the series.
- The procedure was effective regardless of patient age, comorbidities, or contralateral vessel status.
Conclusions:
- Eversion endarteriectomy is a reliable and rapid surgical option for internal carotid artery disease.
- The technique facilitates favorable endarteriectomy conditions, even in asymptomatic or exulcerated lesions.
- Surgical indications should consider spontaneous prognosis and perioperative complication rates.