Eversion carotid endarterectomy.
BACKGROUND
Eversion carotid endarterectomy (ECEA) is a technique that obviates the need for traditional longitudinal arteriotomy and patch closure, with low stroke and restenosis rates. The aim of the present study was to report an Australian experience and technique of ECEA.


METHODS
All patients who underwent ECEA by the investigating surgeons between October 1997 and July 2000 were followed up clinically and with duplex ultrasound. The technique of ECEA is described.


RESULTS
One hundred and fifty-two ECEA were performed, 13 combined with coronary artery bypass grafting (CABG). The combined perioperative stroke and death rate was 2%; 0.65% excluding CABG combined cases. This compares with 2.9% for standard carotid endarterectomy throughout Victoria. Significant restenosis occurred in 2.6% after a mean follow up of 21.7 months.


CONCLUSIONS
ECEA is a simple and safe alternative to standard carotid endarterectomy.
Iseli
T A
TA
Department of Vascular Surgery, Royal Melbourne Hospital, Victoria, Australia. iselitim@hotmail.com
Puttaswamy
V
V
Campbell
W A
WA
Atkinson
N R
NR
D000368:Aged; D002343:Carotid Artery, Internal; D016893:Carotid Stenosis / Q000000981:diagnostic imaging / Q000601:surgery*; D016894:Endarterectomy, Carotid / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D018616:Ultrasonography, Doppler, Duplex