title: Eversion endarterectomy versus open thromboendarterectomy and patch plasty for the treatment of internal carotid artery stenosis.
abstract: OBJECTIVE
  in 1996 we changed our treatment for stenosis of the internal carotid artery (ICA) from open thromboendarterectomy and PTFE-patch plasty (TEA) to eversion endarterectomy (EEA).
  
  
  METHODS
  retrospective study.
  
  
  METHODS
  a total of 475 EEAs of the ICA were performed between 2/96 and 11/96. These results were compared to the results of TEA carried out between 2/94 and 11/94 (n=388).
  
  
  RESULTS
  clamping and operation time were significantly shorter for EEA. Neurological complications included transient ischaemic attacks in 1. 0% in the EEA group versus 1.3% after TEA (p=0.72), minor strokes (0. 6% vs. 1.8%, p=0.10) and major strokes in 1.5% versus 1.1% (p=0.59). The rate of restenosis >50% was 2.5% after EEA and 10.2% after TEA. The only detectable difference of statistical significance in complication rates was in the lesions of the hypoglossal nerve (5.3% vs. 2.6%, p=0.04).
  
  
  CONCLUSIONS
  EEA of the ICA is a safe procedure for carotid reconstruction with the additional advantages of short clamping time, possibility of simultaneous shortening of an elongated ICA, and no requirement for patching.
authors.affiliation: Surgical Clinic, Porz am Rhein Hospital, Urbacher Weg 19, Köln, D-51149, Germany.
authors.forename: C
authors.initials: C
authors.lastname: Peiper
authors.forename: J
authors.initials: J
authors.lastname: Nowack
authors.forename: K
authors.initials: K
authors.lastname: Ktenidis
authors.forename: W
authors.initials: W
authors.lastname: Reifenhäuser
authors.forename: G
authors.initials: G
authors.lastname: Keresztury
authors.forename: S
authors.initials: S
authors.lastname: Horsch
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015901:Angiography, Digital Subtraction; D001672:Biocompatible Materials; D001783:Blood Flow Velocity; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging; D016893:Carotid Stenosis / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D002560:Cerebrovascular Circulation; D016894:Endarterectomy, Carotid / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011093:Polyethylene Terephthalates; D011138:Polytetrafluoroethylene; D012008:Recurrence; D012189:Retrospective Studies; D013536:Suture Techniques; D017131:Thrombectomy / Q000379:methods*; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color
chemical_list: D001672:Biocompatible Materials; D011093:Polyethylene Terephthalates; D011138:Polytetrafluoroethylene