Beneficial effect of carotid endarterectomy in symptomatic and asymptomatic patients with extra cranial atherosclerotic carotid stenosis has been demonstrated in severat targe randomized studies, measuring preservation of neurologic function with a low incidence of restenosis. Eversion carotid endarterectomy (E-CEA), using a transection of the internal carotid artery at the bulb with eversion endarterectomy, a direct visualization of the endpoint and a direct anastomosis to the common carotid artery has been proposed as an acceptable alternative to lower the risk of restenosis, retaining the advantages of the standard longitudinal technique, either with simple or patch closure. The aim of this study was to evaluate the results of E-CEA carried out in our Center over the past five years.
Carotid endarterectomy by eversion technique: primary singlecenter technique
PANE, BIANCA;SPINELLA, GIOVANNI SALVATORE GIUSEPPE;PALOMBO, DOMENICO
2010-01-01
Abstract
Beneficial effect of carotid endarterectomy in symptomatic and asymptomatic patients with extra cranial atherosclerotic carotid stenosis has been demonstrated in severat targe randomized studies, measuring preservation of neurologic function with a low incidence of restenosis. Eversion carotid endarterectomy (E-CEA), using a transection of the internal carotid artery at the bulb with eversion endarterectomy, a direct visualization of the endpoint and a direct anastomosis to the common carotid artery has been proposed as an acceptable alternative to lower the risk of restenosis, retaining the advantages of the standard longitudinal technique, either with simple or patch closure. The aim of this study was to evaluate the results of E-CEA carried out in our Center over the past five years.
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