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Changing from conventional to eversion endarterectomy in carotid artery disease--a safe transition process in the
Jonatan Wistrand1, Thomas Mätzsch, Isabel Gonçalves
1Vascular Center Malmö-Lund, Skåne University Hospital, Malmö, Sweden.
Objectives:
To evaluate the transition process from conventional carotid endarterectomy (cCEA) to eversion carotid endarterectomy (eCEA).
Methods:
Patients operated with carotid endarterectomy (CEA; 164 patients, 171 CEA) in 2002-2003 were retrospectively included.
Results:
In 2002, cCEA was applied in 64 (80%) and eCEA in 16 (20%) patients. There was an inversion on the preponderant surgical technique in 2003 (cCEA in 34 patients [37%] and eCEA in 57 patients [63%]). Perioperative stroke or death occurred in 3 patients (3.8%) in 2002 and 5 (5.5%) in 2003 (P = .78). Perioperative myocardial infarction occurred in 2 patients (2.5%) in 2002 and 2 in 2003 (2.2%, P = 1.00). Median follow-up was 83 (79-86) and 70 (67-74) months for the 2002 and 2003 cohorts, respectively, and there were no differences in survival or ipsilateral stroke between the groups.
Conclusions:
The transition from cCEA to eCEA is possible without significant changes in morbidity and mortality perioperatively and during follow-up.
