title: Comparison of carotid endarterectomy using primary closure, patch closure, and eversion techniques.
abstract: 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.
authors.affiliation: University of Arizona Health Sciences Center, PLLC, Tucson, Arizona, USA.
authors.forename: K J
authors.initials: KJ
authors.lastname: Economopoulos
authors.forename: A T
authors.initials: AT
authors.lastname: Gentile
authors.forename: S S
authors.initials: SS
authors.lastname: Berman
mesh_terms: 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