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Related Experiment Videos

Carotid eversion endarterectomy revisited.

C E Jones

    American Journal of Surgery
    |March 1, 1989
    PubMed
    Summary
    This summary is machine-generated.

    Carotid eversion endarterectomy is a safe alternative to standard carotid endarterectomy, showing no permanent neurologic complications in 98 procedures. This technique may reduce technical defects and early restenosis, improving patient outcomes.

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    Area of Science:

    • Vascular Surgery
    • Cerebrovascular Disease

    Background:

    • Carotid endarterectomy is a common procedure to prevent stroke.
    • Standard carotid bifurcation endarterectomy carries risks of complications.

    Purpose of the Study:

    • To evaluate carotid eversion endarterectomy as an alternative to standard carotid bifurcation endarterectomy.
    • To assess the safety and efficacy of carotid eversion endarterectomy in reducing complications.

    Main Methods:

    • A retrospective review of 98 carotid eversion endarterectomies.
    • Analysis of clinical, angiographic, and noninvasive laboratory data.
    • Assessment of perioperative complications, technical defects, and early restenosis.

    Main Results:

    • No permanent neurologic morbidity or mortality observed in 98 operations.

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  • Absence of perioperative thrombosis and early restenosis.
  • Only two technical defects noted, with one related to difficulty with the eversion maneuver.

    • Conclusions:

    • Carotid eversion endarterectomy is a safe and anatomically acceptable alternative.
    • The technique shows potential for reducing residual technical defects and early restenosis.
    • Further long-term follow-up is needed to confirm durability.