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Technical results from the eversion technique of carotid endarterectomy
C E Jones1, A J Jescovitch, A Kahn
1Department of Surgery, Johns Hopkins Bayview Medical Center, Baltimore, MD 21224, USA.
The American Surgeon
|May 1, 1996
Summary
Carotid endarterectomy using the eversion technique is a safe and effective procedure for preventing stroke. This study found low complication rates and durable results in a large patient cohort.
Area of Science:
- Vascular Surgery
- Cerebrovascular Disease
Background:
- Carotid endarterectomy is a critical procedure for stroke prevention.
- The eversion technique has emerged as a preferred method for carotid endarterectomy.
Purpose of the Study:
- To evaluate the safety, efficacy, and durability of the carotid eversion endarterectomy technique.
- To assess complication rates and long-term outcomes in a large patient series.
Main Methods:
- A retrospective review of 167 carotid endarterectomies performed using the eversion technique in 158 patients.
- Patients underwent routine general anesthesia without shunts.
- Follow-up included duplex scanning to assess stenosis and clinical outcomes.
Main Results:
- The study reported a low incidence of permanent stroke (0.6%) and 30-day mortality (1%).
- Residual stenosis occurred in 5% of cases, while recurrent stenosis was observed in 2% of patients.
- Factors associated with residual stenosis included younger age, female gender, and right-sided endarterectomy.
Conclusions:
- Carotid eversion endarterectomy is a safe, universally applicable, and durable procedure.
- The technique demonstrates favorable long-term outcomes with low rates of residual and recurrent stenosis.