Comparison of carotid endarterectomy using primary closure, patch closure, and eversion techniques.
BACKGROUND
This study was undertaken to evaluate the role of eversion endarterectomy in the management of extracranial carotid occlusive disease.


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.


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.


CONCLUSIONS
This study demonstrates that eversion endarterectomy achieves early results similar to open endarterectomy with and without patch closure.
Economopoulos
K J
KJ
University of Arizona Health Sciences Center, PLLC, Tucson, Arizona, USA.
Gentile
A T
AT
Berman
S S
SS
D017536:Carotid Artery, Common / Q000601:surgery; D002343:Carotid Artery, Internal / Q000601:surgery; D016893:Carotid Stenosis / Q000601:surgery*; D016894:Endarterectomy, Carotid / Q000379:methods* / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology; D012008:Recurrence; D012189:Retrospective Studies