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Related Experiment Video

Updated: May 4, 2026

Surgical Technique for the Implantation of Tissue Engineered Vascular Grafts and Subsequent In Vivo Monitoring
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Durability of eversion carotid endarterectomy.

Enzo Ballotta1, Antonio Toniato1, Giuseppe Da Giau1

  • 1Vascular Surgery Group, 2nd Surgical Clinic, Department of Surgical, Oncological, and Gastroenterological Sciences at the University of Padua, School of Medicine, Padova, Italy.

Journal of Vascular Surgery
|January 16, 2014
PubMed
Summary
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Eversion carotid endarterectomy (CEA) offers excellent long-term protection against stroke and carotid restenosis. This study confirms CEA

Area of Science:

  • Vascular Surgery
  • Neurology
  • Cardiology

Background:

  • Carotid endarterectomy (CEA) is a standard treatment for carotid artery disease.
  • Carotid angioplasty and stenting is a viable alternative.
  • Durability of CEA requires long-term assessment.

Purpose of the Study:

  • To evaluate the long-term durability of eversion CEA.
  • To assess stroke and restenosis rates after CEA.

Main Methods:

  • Prospective follow-up of 1773 patients undergoing 2007 primary eversion CEAs (1990-2012).
  • Mean follow-up of 12.9 years.
  • Clinical and ultrasonographic monitoring for perioperative and late outcomes.

Main Results:

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  • Perioperative stroke rate was 0.4% with no deaths.
  • Late restenosis/occlusion incidence was negligible (0.52%).
  • Late ipsilateral stroke rate was 0.47%, unrelated to restenosis.

    • Conclusions:

    • Eversion CEA provides excellent protection against cerebral ischemia.
    • The procedure has an extremely low perioperative stroke/death risk.
    • Late restenosis/occlusion rates are negligible, ensuring sustained benefit.