Back to Search Start Over

Comparison of carotid endarterectomy using primary closure, patch closure, and eversion techniques.

Authors :
Economopoulos KJ
Gentile AT
Berman SS
Source :
American journal of surgery [Am J Surg] 1999 Dec; Vol. 178 (6), pp. 505-10.
Publication Year :
1999

Abstract

Background: This study was undertaken to evaluate the role of eversion endarterectomy in the management of extracranial carotid occlusive disease.<br />Methods: A retrospective review was performed of all patients undergoing carotid endarterectomy between July 1994 and July 1998. After reviewing the records, patients were assigned to one of three groups: eversion (ECEA); open with primary closure (CEA); or open with patch closure (CEAP). Statistical comparisons were made.<br />Results: The 190 index cases comprised 33 ECEA (17%), 15 CEA (8%), and 142 CEAP (75%). Both ECEA and CEA were more likely to be done on males versus females compared with CEAP (P = 0.01). For the entire 190 cases, stroke occurred in 1 patient (0.5%); and myocardial infarction in 2 patients (1%), resulting in death in both. Two patients (1.4%) in the CEAP group have undergone redo surgery at 8 and 24 months.<br />Conclusions: This study demonstrates that eversion endarterectomy achieves early results similar to open endarterectomy with and without patch closure.

Details

Language :
English
ISSN :
0002-9610
Volume :
178
Issue :
6
Database :
MEDLINE
Journal :
American journal of surgery
Publication Type :
Academic Journal
Accession number :
10670862
Full Text :
https://doi.org/10.1016/s0002-9610(99)00247-0