title: [Efficacy analysis of two surgical procedures of carotid endarterectomy in the treatment of carotid artery stenosis].
abstract: OBJECTIVE
  To analyze the efficacy and safety of eversion carotid endarterectomy (eCEA) and carotid endarterectomy with patch angioplasty (pCEA) in the treatment of carotid artery stenosis.
  
  
  METHODS
  The clinical data were collected and analyzed for the patients with carotid artery stenosis undergoing carotid endarterectomy at Department of Vascular Surgery, Peking Union Medical College Hospital from October 2009 to October 2012. According to two different surgical procedures, they were divided into 2 groups of eCEA and pCEA.
  
  
  RESULTS
  A total of 248 patients received a follow-up. Among 274 cases of endarterectomy, 101 cases of eCEA and 173 cases of pCEA were performed. No significant difference (P > 0.05) existed between two groups in gender, age, risk factors, stenotic degree of carotid artery or ratio of bilateral lesions. The ratio of shunt (15.8%) and antibiotics (26.7%) application, the duration of operation (88 ± 20) min, intraoperative blood loss (45 ± 16) ml and the length of stay (16 ± 4) days in the group eCEA were significantly lower than those of group pCEA (P < 0.05). There was no significant difference (P > 0.05) between two groups in the ratio of complications, surgery-related mortality, restenosis and ipsilateral stroke.
  
  
  CONCLUSIONS
  Both surgical procedures are both safe and effective in the treatment of carotid artery stenosis. However eCEA offers potential advantages. The choice of a particular surgical procedure depends on the surgeon experience and specific circumstances of carotid artery lesions.
authors.affiliation: Department of Vascular Surgery, Peking Union Medical College Hospital & Chinese Academy of Medical Sciences, Beijing 100032, China.
authors.forename: Yong-peng
authors.initials: YP
authors.lastname: Diao
authors.forename: Chang-wei
authors.initials: CW
authors.lastname: Liu
authors.forename: Xiao-jun
authors.initials: XJ
authors.lastname: Song
authors.forename: Yue-hong
authors.initials: YH
authors.lastname: Zheng
authors.forename: Bao
authors.initials: B
authors.lastname: Liu
authors.forename: Wei
authors.initials: W
authors.lastname: Ye
authors.forename: Li-long
authors.initials: LL
authors.lastname: Guo
authors.forename: Li-shan
authors.initials: LS
authors.lastname: Lian
authors.forename: Yong-jun
authors.initials: YJ
authors.lastname: Li
mesh_terms: D000368:Aged; D016893:Carotid Stenosis / Q000601:surgery*; D016894:Endarterectomy, Carotid / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies