Abstract
Carotid endarterectomy (CEA) for stroke prevention has been validated in many prospective randomized trials for treatment of carotid bifurcation disease. The technique of standard CEA has been performed with excellent results over the past three decades. An alternative approach involves eversion endarterectomy, which displaces the anastomosis from a narrow distal internal carotid artery to a larger carotid bulb and proximal internal carotid arteries. Exposure of the carotid artery is identical with either method of endarterectomy. Our results with this technique demonstrate a recurrence rate in women that is less than 2%, identical to that in men. Although it is always difficult to improve on a well-accepted technique, we believe that eversion endarterectomy is truly an advance in carotid surgery and one that we have adopted enthusiastically with excellent results. Whether this becomes the principal technique or merely an occasional technique of the operator, it is an important and useful tool for the surgeon who performs carotid procedures.
| Original language | English |
|---|---|
| Title of host publication | Haimovici's Vascular Surgery: 6th Edition |
| Publisher | Wiley-Blackwell |
| Pages | 419-426 |
| Number of pages | 8 |
| ISBN (Print) | 9781444330717 |
| DOIs | |
| State | Published - Oct 1 2012 |
| Externally published | Yes |
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Keywords
- Atherosclerosis
- Carotid
- Endarterectomy
- Eversion
- Restenosis
- Stroke
ASJC Scopus subject areas
- Medicine(all)
Cite this
Eversion Carotid Endarterectomy. / Rey, Jorge; Roddy, Sean P.; Darling, R. Clement.
Haimovici's Vascular Surgery: 6th Edition. Wiley-Blackwell, 2012. p. 419-426.Research output: Chapter in Book/Report/Conference proceeding › Chapter
}
TY - CHAP
T1 - Eversion Carotid Endarterectomy
AU - Rey, Jorge
AU - Roddy, Sean P.
AU - Darling, R. Clement
PY - 2012/10/1
Y1 - 2012/10/1
N2 - Carotid endarterectomy (CEA) for stroke prevention has been validated in many prospective randomized trials for treatment of carotid bifurcation disease. The technique of standard CEA has been performed with excellent results over the past three decades. An alternative approach involves eversion endarterectomy, which displaces the anastomosis from a narrow distal internal carotid artery to a larger carotid bulb and proximal internal carotid arteries. Exposure of the carotid artery is identical with either method of endarterectomy. Our results with this technique demonstrate a recurrence rate in women that is less than 2%, identical to that in men. Although it is always difficult to improve on a well-accepted technique, we believe that eversion endarterectomy is truly an advance in carotid surgery and one that we have adopted enthusiastically with excellent results. Whether this becomes the principal technique or merely an occasional technique of the operator, it is an important and useful tool for the surgeon who performs carotid procedures.
AB - Carotid endarterectomy (CEA) for stroke prevention has been validated in many prospective randomized trials for treatment of carotid bifurcation disease. The technique of standard CEA has been performed with excellent results over the past three decades. An alternative approach involves eversion endarterectomy, which displaces the anastomosis from a narrow distal internal carotid artery to a larger carotid bulb and proximal internal carotid arteries. Exposure of the carotid artery is identical with either method of endarterectomy. Our results with this technique demonstrate a recurrence rate in women that is less than 2%, identical to that in men. Although it is always difficult to improve on a well-accepted technique, we believe that eversion endarterectomy is truly an advance in carotid surgery and one that we have adopted enthusiastically with excellent results. Whether this becomes the principal technique or merely an occasional technique of the operator, it is an important and useful tool for the surgeon who performs carotid procedures.
KW - Atherosclerosis
KW - Carotid
KW - Endarterectomy
KW - Eversion
KW - Restenosis
KW - Stroke
UR - http://www.scopus.com/inward/record.url?scp=84886715687&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84886715687&partnerID=8YFLogxK
U2 - 10.1002/9781118481370.ch32
DO - 10.1002/9781118481370.ch32
M3 - Chapter
SN - 9781444330717
SP - 419
EP - 426
BT - Haimovici's Vascular Surgery: 6th Edition
PB - Wiley-Blackwell
ER -