Carotid endarterectomy using the eversion technique.
Carotid endarterectomy by the eversion technique allows for all of the benefits of conventional endarterectomy but obviates the need for a distal suture line on the smaller internal carotid artery, and thus batching. Carotid artery reanastomosis onto the bifurcation can be quickly and simply performed with almost no risk of closure-related restenosis, given the anastomosis is on the larger of 2 arteries. In our experience of over 3,000 eversion carotid artery endarterectomies, the restenosis rate has been less than 1% judged by rigorous duplex follow-up. In this article, the technique and utility of eversion carotid endarterectomy is discussed.
Darling
R C
RC
Institute for Vascular Health & Disease, Albany Medical College, NY 12208, USA.
Shah
D M
DM
Chang
B B
BB
Paty
P S
PS
Kreienberg
P B
PB
Lloyd
W E
WE
Roddy
S P
SP
D016893:Carotid Stenosis / Q000601:surgery*; D016894:Endarterectomy, Carotid / Q000379:methods*; D006801:Humans; D012008:Recurrence