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Related Experiment Videos

[Carotid endarterectomy using eversion. One year radiologic results]

J M Jausseran1, M Ferdani, F Houel

  • 1Service de Chirurgie Cardio-Vasculaire, Hôpital Saint-Joseph, Marseille.

Journal Des Maladies Vasculaires
|April 29, 1998
PubMed
Summary
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Eversion endarterectomy is a viable surgical option for carotid artery stenosis, demonstrating a 2% restenosis rate at one year. This method offers excellent anatomical results and is suitable for most atheromatous stenoses.

Area of Science:

  • Vascular Surgery
  • Cardiovascular Medicine
  • Surgical Techniques

Background:

  • Carotid artery stenosis poses a significant risk of stroke.
  • Traditional endarterectomy techniques have limitations.
  • The Van Maele eversion endarterectomy (section-eversion-anastomosis) offers an alternative approach.

Purpose of the Study:

  • To evaluate the efficacy and safety of the Van Maele eversion endarterectomy for carotid artery stenosis.
  • To assess the peri-operative and one-year outcomes, including restenosis rates.
  • To compare the technique's results with classical surgical endarterectomy.

Main Methods:

  • A prospective study of 100 patients (110 procedures) undergoing eversion endarterectomy between January 1994 and August 1995.
  • Patients included asymptomatic and symptomatic individuals with varying degrees of stenosis and ulcerated plaques.

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  • Peri-operative digital angiography and one-year angiographic follow-up were performed.

    • Main Results:

    • Eversion endarterectomy was technically feasible in 94.6% of cases (105/110).
    • Immediate post-operative mortality/morbidity was approximately 2% (2/103), with a 1-year restenosis rate of 2%.
    • The technique provided excellent anatomical results and proved suitable for elongated carotid artery stenoses.

    Conclusions:

    • Eversion endarterectomy is a safe and effective procedure for the majority of carotid artery stenoses.
    • The technique yields comparable immediate results to conventional methods.
    • A low restenosis rate at one year supports its clinical utility, particularly for specific stenosis morphologies.