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ludc webb

Nuno Dias

Associate professor

ludc webb

Changing From Conventional to Eversion Endarterectomy in Carotid Artery Disease-A Safe Transition Process in the Short and Long Term

Author

  • Jonatan Wistrand
  • Thomas Mätzsch
  • Isabel Goncalves
  • Lorenzo Riva
  • Nuno Dias

Summary, in English

Objectives: To evaluate the transition process from conventional carotid endarterectomy (cCEA) to eversion carotid endarterectomy (eCEA). Methods: Patients operated with carotid endarterectomy (CEA; 164 patients, 171 CEA) in 2002-2003 were retrospectively included. Results: In 2002, cCEA was applied in 64 (80%) and eCEA in 16 (20%) patients. There was an inversion on the preponderant surgical technique in 2003 (cCEA in 34 patients [37%] and eCEA in 57 patients [63%]). Perioperative stroke or death occurred in 3 patients (3.8%) in 2002 and 5 (5.5%) in 2003 (P-.78). Perioperative myocardial infarction occurred in 2 patients (2.5%) in 2002 and 2 in 2003 (2.2%, P = 1.00). Median follow-up was 83 (79-86) and 70 (67-74) months for the 2002 and 2003 cohorts, respectively, and there were no differences in survival or ipsilateral stroke between the groups. Conclusions: The transition from cCEA to eCEA is possible without significant changes in morbidity and mortality perioperatively and during follow-up.

Department/s

  • EXODIAB: Excellence in Diabetes Research in Sweden
  • Department of Clinical Sciences, Malmö
  • Cardiovascular Research - Immunity and Atherosclerosis

Publishing year

2010

Language

English

Pages

539-544

Publication/Series

Vascular and Endovascular Surgery

Volume

44

Issue

7

Document type

Journal article

Publisher

SAGE Publications

Topic

  • Cardiac and Cardiovascular Systems

Keywords

  • technique
  • eversion
  • carotid endarterectomy
  • conventional
  • transition

Status

Published

Research group

  • Cardiovascular Research - Immunity and Atherosclerosis

ISBN/ISSN/Other

  • ISSN: 1938-9116