title: [Eversion carotid endarterectomy: evaluation of results after changing the operation technique].
abstract: BACKGROUND
  Stroke is the third most common cause of mortality, and carotid artery stenosis causes up to 30% of all ischemic strokes. Eversion CEA (ECEA) has been proposed as an acceptable alternative to the standard bifurcation endarterectomy in many patients. This study was designed to analyze the long-term durability of ECEA in symptomatic and asymptomatic patients. Data were retrospectively reviewed to determine the incidence of major adverse cardiovascular events (MACEs) within 30 days of surgery, late survival, and the incidence of restenosis.
  
  
  RESULTS
  From January 1999 to June 2010, 344 ECEAs were performed on 324 patients (34% female, 38% symptomatic). The mean follow-up period was 30 months.
  
  
  CONCLUSIONS
  MACEs occurred in 28 patients (8.6%). The overall incidence of stroke or death after ECEA was 1.7% and 0.9% at discharge. The overall incidence of stoke or death after CEA was 4.3% and 21% (14 strokes, 69 deaths, 8 of which were stroke-related). The overall occurrence of any restenosis (> 50%) after CEA was 4.3% (14 of 324 procedures).
authors.affiliation: Institut klinické a experimentální medicíny Praha, Klinika transplantacní chirurgie. lija@ikem.cz
authors.forename: Libor
authors.initials: L
authors.lastname: Janousek
authors.forename: Tomás
authors.initials: T
authors.lastname: Marada
authors.forename: Jaroslav
authors.initials: J
authors.lastname: Chlupác
authors.forename: Kvetoslav
authors.initials: K
authors.lastname: Lipár
authors.forename: Peter
authors.initials: P
authors.lastname: Baláz
authors.forename: Slavomír
authors.initials: S
authors.lastname: Rokosný
authors.forename: Ivan
authors.initials: I
authors.lastname: Matia
authors.forename: Milos
authors.initials: M
authors.lastname: Adamec
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002343:Carotid Artery, Internal; D016893:Carotid Stenosis / Q000150:complications / Q000601:surgery*; D016894:Endarterectomy, Carotid / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D020521:Stroke; D016896:Treatment Outcome