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Related Experiment Videos

The technique of eversion carotid endarterectomy

D A Kiskinis1, N A Saratzis, A A Megalopoulos

  • 1Department of Vascular Surgery AHEPA Hospital, Ariostelian University of Thessaloniki, Macedonia, Greece.

International Angiology : a Journal of the International Union of Angiology
|December 1, 1996
PubMed
Summary

Eversion endarterectomy offers a superior alternative to traditional carotid surgery for Internal Carotid Artery (ICA) stenosis. This technique corrects elongated arteries and reduces restenosis rates without needing patch material.

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Area of Science:

  • Vascular Surgery
  • Surgical Techniques
  • Cardiovascular Medicine

Background:

  • Carotid endarterectomy is a common procedure for preventing stroke.
  • Classical carotid endarterectomy involves arteriotomy and closure with patch material.
  • Elongation of the Internal Carotid Artery (ICA) can complicate standard endarterectomy.

Purpose of the Study:

  • To present the details and advantages of eversion endarterectomy for ICA stenosis.
  • To highlight eversion endarterectomy as an alternative to classical carotid endarterectomy.

Main Methods:

  • Complete transection of the ICA from the carotid bifurcation.
  • Performing eversion endarterectomy of the ICA.
  • Conducting endarterectomy of the External Carotid Artery.

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  • Reimplantation of the ICA and reconstruction of the carotid bifurcation.

    • Main Results:

    • Eversion endarterectomy effectively corrects elongated ICAs with stenosis.
    • This technique avoids the need for patch material in arteriotomy closure.
    • The procedure demonstrates a low rate of restenosis.

    Conclusions:

    • Eversion endarterectomy is an effective and advantageous alternative to classical carotid endarterectomy.
    • The technique offers optimal correction for complex ICA stenosis and elongation.
    • Low restenosis rates make it an attractive option for vascular surgeons.