Changing from conventional to eversion endarterectomy in carotid artery disease--a safe transition process in the short and long term.
OBJECTIVE
To evaluate the transition process from conventional carotid endarterectomy (cCEA) to eversion carotid endarterectomy (eCEA).


METHODS
Patients operated with carotid endarterectomy (CEA; 164 patients, 171 CEA) in 2002-2003 were retrospectively included.


RESULTS
In 2002, cCEA was applied in 64 (80%) and eCEA in 16 (20%) patients. There was an inversion on the preponderant surgical technique in 2003 (cCEA in 34 patients [37%] and eCEA in 57 patients [63%]). Perioperative stroke or death occurred in 3 patients (3.8%) in 2002 and 5 (5.5%) in 2003 (P = .78). Perioperative myocardial infarction occurred in 2 patients (2.5%) in 2002 and 2 in 2003 (2.2%, P = 1.00). Median follow-up was 83 (79-86) and 70 (67-74) months for the 2002 and 2003 cohorts, respectively, and there were no differences in survival or ipsilateral stroke between the groups.


CONCLUSIONS
The transition from cCEA to eCEA is possible without significant changes in morbidity and mortality perioperatively and during follow-up.
Wistrand
Jonatan
J
Vascular Center Malmö-Lund, Skåne University Hospital, Malmö, Sweden.
Mätzsch
Thomas
T
Gonçalves
Isabel
I
Riva
Lorenzo
L
Dias
Nuno V
NV
D000368:Aged; D002340:Carotid Artery Diseases / Q000401:mortality / Q000601:surgery*; D016009:Chi-Square Distribution; D016894:Endarterectomy, Carotid / Q000009:adverse effects / Q000379:methods* / Q000401:mortality; D005260:Female; D006801:Humans; D053208:Kaplan-Meier Estimate; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology; D012042:Registries; D012189:Retrospective Studies; D020521:Stroke / Q000209:etiology; D013548:Sweden; D013997:Time Factors; D016896:Treatment Outcome