title: [Carotid eversion endarterectomy: retrospective analysis].
abstract: The aim of this study was to report the initial experience with eversion carotid endarterectomy technique at our department. We undertook a retrospective analysis of prospectively collected data on all carotid endarterectomies performed since January 2004 to March 2006. A comparison between both groups - eversion endarterectomy (EE) and conventional endarterectomy (CE) - was done using a statistical software package. A total of 150 consecutive carotid endarterectomies were performed, 26 (17 %) of them being done using EE. Median age for all patients was 69 [52 - 89] years old with a clear male predominance (n=119; 79,3%). Cardiovascular risk factors were distributed as follows: hypertension, 126 (84%); diabetes, 40 (26,7%); dyslipidaemia, 105 (70%); tobacco smoking, 44 (29,3%). There were proportionately more patients on the EE group submitted to simultaneous CABG (30,8 % vs. 8,8 %; p=0,043) and asymptomatic for previous neurological events (53,9 %vs. 27,3%; p=0,05). There was one case of cervical haematoma reported for the EE technique. Neither neurological morbidity nor deaths were reported within this group. In the CE group the mortality was 0,8 % (1 patient) and the neurological morbidity (either stroke or TIA) was 2,4 % (3 patients). The overall stroke and death rate combining both groups was 2,7 %. Outcome differences between EE and CE patients were nonsignificant, even on multivariate analysis. Eversion carotid endarterectomy is a safe procedure that might be considered as a valid option to conventional endarterectomy.
authors.affiliation: Serviço de Angiologia e Cirurgia Vascular do Hospital de S. João, Porto.
authors.forename: José
authors.initials: J
authors.lastname: Vidoedo
authors.forename: Alfredo
authors.initials: A
authors.lastname: Cerqueira
authors.forename: Sérgio
authors.initials: S
authors.lastname: Sampaio
authors.forename: Isabel
authors.initials: I
authors.lastname: Vilaça
authors.forename: Timmy
authors.initials: T
authors.lastname: Toledo
authors.forename: Paulo
authors.initials: P
authors.lastname: Gonçalves Dias
authors.forename: Joana
authors.initials: J
authors.lastname: de Carvalho
authors.forename: José
authors.initials: J
authors.lastname: Meira
authors.forename: Roncon
authors.initials: R
authors.lastname: de Albuquerque
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D016894:Endarterectomy, Carotid / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies