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Updated: Feb 11, 2026

A Model of Disturbed Flow-Induced Atherosclerosis in Mouse Carotid Artery by Partial Ligation and a Simple Method of RNA Isolation from Carotid Endothelium
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A Model of Disturbed Flow-Induced Atherosclerosis in Mouse Carotid Artery by Partial Ligation and a Simple Method of RNA Isolation from Carotid Endothelium

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Does surgical technique influence the postoperative hemodynamic disturbances and neurological outcomes in carotid

Serkan Burç Deşer1, Mustafa Kemal Demirag1, Fersat Kolbakir1

  • 1a Department of Cardiovascular Surgery , School of Medicine, Ondokuz Mayis University , Samsun , Turkey.

Acta Chirurgica Belgica
|April 28, 2018
PubMed

Insights

Eversion carotid endarterectomy (E-CEA) reduces operative time but increases bleeding compared to conventional carotid endarterectomy (C-CEA). Both methods show no significant difference in stroke rates or postoperative blood pressure changes.

Area of Science:

  • Vascular Surgery
  • Neurosurgery
  • Cardiovascular Medicine

Background:

  • Carotid endarterectomy (CEA) is a standard procedure for internal carotid artery (ICA) stenosis.
  • Eversion carotid endarterectomy (E-CEA) and conventional carotid endarterectomy (C-CEA) are surgical techniques for treating ICA stenosis.

Purpose of the Study:

  • To compare postoperative blood pressure changes, stroke rate, and complications between E-CEA and C-CEA.
  • To evaluate the efficacy and safety of E-CEA versus C-CEA in patients with ICA stenosis.

Main Methods:

  • Retrospective study of 166 patients (175 CEAs) between January 2010 and March 2017.
  • Inclusion criteria: symptomatic or asymptomatic ICA stenosis.
  • Comparison of operative time, cross-clamping time, stroke occurrence, and postoperative blood pressure between E-CEA and C-CEA groups.

Main Results:

  • E-CEA demonstrated significantly shorter operative and cross-clamping times compared to C-CEA (p < .001).
  • No significant difference was observed in perioperative stroke occurrence between the two techniques (p = .501).
  • Postoperative blood pressure differences at 6 and 24 hours were comparable between E-CEA and C-CEA (p = .130).

Conclusions:

  • E-CEA offers reduced operative and cross-clamping times but is associated with increased postoperative bleeding.
  • Both E-CEA and C-CEA yield similar outcomes regarding postoperative stroke and blood pressure stability.
Abstract

Keywords:
Carotid artery endarterectomy; eversion technique; conventional technique; stroke; hypertension

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