Eversion carotid endarterectomy: evaluation of results after changing the operation technique
Authors:
Libor Janoušek; Tomáš Marada; Jaroslav Chlupáč; Květoslav Lipár; Peter Baláž; Slavomír Rokošný; Ivan Matia; Miloš Adamec
Authors‘ workplace:
Institut klinické a experimentální medicíny Praha, Klinika transplantační chirurgie
Published in:
Čas. Lék. čes. 2011; 150: 41-43
Category:
Original Article
Overview
Background:
Stroke is the third most common cause of mortality, and carotid artery stenosis causes up to 30% of all ischemic strokes. Eversion CEA (ECEA) has been proposed as an acceptable alternative to the standard bifurcation endarterectomy in many patients. This study was designed to analyze the long-term durability of ECEA in symptomatic and asymptomatic patients. Data were retrospectively reviewed to determine the incidence of major adverse cardiovascular events (MACEs) within 30 days of surgery, late survival, and the incidence of restenosis.
Methods and results:
From January 1999 to June 2010, 344 ECEAs were performed on 324 patients (34% female, 38% symptomatic). The mean follow-up period was 30 months.
Conclusions:
MACEs occurred in 28 patients (8.6%). The overall incidence of stroke or death after ECEA was 1.7% and 0.9% at discharge. The overall incidence of stoke or death after CEA was 4.3% and 21% (14 strokes, 69 deaths, 8 of which were stroke-related). The overall occurrence of any restenosis (> 50%) after CEA was 4.3% (14 of 324 procedures).
Key words:
carotid endarterectomy, eversion, restenosis.
Sources
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Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain managementArticle was published in
Journal of Czech Physicians
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