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Journals / Journal of Surgery and Medicine / 2021 / Cilt: 5 - Sayı: 5

Comparison of conventional surgical method and eversion technique in carotid endarterectomy operations

Hacı Ali UÇAK
İbrahim ÖZSÖYLER
Pages
400–403
Publication Date
2021-05-01
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In the CCEA group, subjects had a significantly longer clamping time (19.3 (4.1) vs 15.4 (3.4) min., P=0.002) and significant differences were found between operative time (35.1 (3.2) vs 28.7 (4.3) min) and need for shunting (25.7% vs 2.1%, P

📌 3 Key Takeaways

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Objective & Hypothesis:Background/Aim: Carotid endarterectomy is a highly effective and safe operation for preventing the risk of stroke in patients with symptomatic internal carotid artery stenosis.
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Key Findings & Data:Superiority of these two techniques to one another has not yet been clearly demonstrated.
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Conclusion & Impact:In the CCEA group, subjects had a significantly longer clamping time (19.3 (4.1) vs 15.4 (3.4) min., P=0.002) and significant differences were found between operative time (35.1 (3.2) vs 28.7 (4.3) min) and need for shunting (25.7% vs 2.1%, P
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Carotid stenosis · Eversion carotid endarterectomy · Conventional carotid endarterectomy

Abstract

Background/Aim: Carotid endarterectomy is a highly effective and safe operation for preventing the risk of stroke in patients with symptomatic internal carotid artery stenosis. Several surgical techniques were described and available: Conventional carotid endarterectomy (CCEA) and eversion carotid endarterectomy (ECEA) are the two most common. Superiority of these two techniques to one another has not yet been clearly demonstrated. We aim to demonstrate the surgical and clinical experience of our institution regarding these two approaches. Methods: In this retrospective cohort study, forty-three consecutive patients operated for symptomatic carotid stenosis were divided into two groups according to the preferred surgical method (CCEA and ECEA), and compared in terms of postoperative hospital stay, use of shunts and antibiotics, early (30-day) complications, long-term restenosis, and mortality rates. Results: Demographic data and preoperative stenosis rates were similar between the two groups (P>0.05). In the CCEA group, subjects had a significantly longer clamping time (19.3 (4.1) vs 15.4 (3.4) min., P=0.002) and significant differences were found between operative time (35.1 (3.2) vs 28.7 (4.3) min) and need for shunting (25.7% vs 2.1%, P

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Cite This Article

UÇAK, H. A., ÖZSÖYLER, İ. (2021). Comparison of conventional surgical method and eversion technique in carotid endarterectomy operations. Journal of Surgery and Medicine, Cilt: 5 - Sayı: 5, 400–403. https://ajindex.com/articles/779925

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References (10)

  1. The top 10 causes of death n.d. https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death (accessed March 9, 2021)
  2. Flaherty ML, Kissela B, Khoury JC, Alwell K, Moomaw CJ, Woo D, et al. Carotid artery stenosis as a cause of stroke. Neuroepidemiology 2012; 40:36–41. doi: 10.1159/000341410
  3. Eckstein HH. European Society for Vascular Surgery Guidelines on the Management of Atherosclerotic Carotid and Vertebral Artery Disease. European Journal of Vascular and Endovascular Surgery 2018; 55:1–2. doi: 10.1016/j.ejvs.2017.06.026
  4. Mas JL, Trinquart L, Leys D, Albucher JF, Rousseau H, Viguier A, et al. Endarterectomy Versus Angioplasty in Patients with Symptomatic Severe Carotid Stenosis (EVA-3S) trial: results up to 4 years from a randomised, multicentre trial. The Lancet Neurology 2008; 7:885–92. doi: 10.1016/S1474-4422(08)70195-9. 5. de Bakey ME, Crawford ES, Cooley DA, Morris GC. Surgical considerations of occlusive disease of innominate, carotid, subclavian, and vertebral arteries. Annals of Surgery 1959; 149:690–710. doi: 10.1097/00000658-195905000-00010
  5. Cao P, de Rango P, Zannetti S, Giordano G, Ricci S, Celani MG. Eversion versus conventional carotid endarterectomy for preventing stroke. Cochrane Database of Systematic Reviews 2000. doi: 10.1002/14651858.cd001921
  6. Bond R, Rerkasem K, Naylor AR, Aburahma AF, Rothwell PM. Systematic review of randomized controlled trials of patch angioplasty versus primary closure and different types of patch materials during carotid endarterectomy. Journal of Vascular Surgery 2004; 40:1126–35. doi: 10.1016/j.jvs.2004.08.048
  7. Dakour-Aridi H, Ou M, Locham S, AbuRahma A, Schneider JR, Malas M. Outcomes following Eversion versus Conventional Endarterectomy in the Vascular Quality Initiative Database. Annals of Vascular Surgery, vol. 65, Elsevier Inc.; 2020, p. 1–9. doi: 10.1016/j.avsg.2019.07.021
  8. Katras T, Baltazar U, Rush DS, Sutterfield WC, Harvill LM, Stanton PE. Durability of eversion carotid endarterectomy: Comparison with primary closure and carotid patch angioplasty. Journal of Vascular Surgery 2001; 34:453–8. doi: 10.1067/mva.2001.117885
  9. Stone PA, Srivastava M, Campbell JE, Mousa AY, Hass SH, Kazmi H, et al. A 10-year experience of infection following carotid endarterectomy with patch angioplasty. Journal of Vascular Surgery 2011; 53:1473–7. doi: 10.1016/j.jvs.2011.02.020
  10. Mann CD, McCarthy M, Nasim A, Bown M, Dennis M, Sayers R, et al. Management and outcome of prosthe