title: Comparison of two surgical techniques for carotid endarterectomy: conventional and eversion.
abstract: BACKGROUND
  The role of carotid endarterectomy for the treatment of atherosclerotic carotid bifurcation disease is now well established. The aim of this study was to compare durability, postoperative death, stroke, minor strokes, cranial nerve injuries, neck hematomas, myocardial infarctions, or surgical defects and restenosis at the operative site following short- and mid-term duration of the advantages eversion carotid endarterectomy (E-CEA) compared to conventional carotid endarterectomy (C-CEA).
  
  
  METHODS
  Between March 2003 and November 2012, primary CEAs were performed in 380 consecutive patients by the same surgical groups. These patients were evaluated retrospectively. C-CEA was performed in 202 patients, and E-CEA was performed in 178 patients. Carotid duplex ultrasonography was performed in all patients at 1, 6, 12 and 24 months after CEA to identify residual atherosclerotic carotid disease.
  
  
  RESULTS
  Mean age was 67.3±13.4 years in the E-CEA group and 64.8±14.8 years in the C-CEA group. Mean cross-clamping time in the E-CEA group was 9.54±2.6 minutes and 12.62±2.7 minutes for C-CEA group (P=0.236). Three postoperative strokes occurred (one after E-CEA and two after C-CEA). In the E-CEA group and C-CEA group respectively, carotid stenosis rates were found in 4 patients (2.24%) and in 5 (2.97%) at a follow-up period of 26 months.
  
  
  CONCLUSIONS
  Classical endarterectomy still remains the gold standard surgical technique for patients who are selected for coronary artery disease surgery. Nevertheless, we believe that eversion endarterectomy, which has some advantages, must be kept in mind as an alternative approach.
authors.affiliation: Ataturk Training and Research Hospital, Katip Celebi University, Izmir, Turkey. Electronic address: hyasa20@yahoo.com.
authors.forename: H
authors.initials: H
authors.lastname: Yasa
authors.affiliation: Ataturk Training and Research Hospital, Katip Celebi University, Izmir, Turkey. Electronic address: muhammetak100@yahoo.com.tr.
authors.forename: M
authors.initials: M
authors.lastname: Akyuz
authors.affiliation: Special Akut Cardiovascular Surgical Hospital, Izmir, Turkey. Electronic address: necmettinyakut@yahoo.com.
authors.forename: N
authors.initials: N
authors.lastname: Yakut
authors.affiliation: Ataturk Training and Research Hospital, Katip Celebi University, Izmir, Turkey. Electronic address: ovuncaslan@gmail.com.
authors.forename: O
authors.initials: O
authors.lastname: Aslan
authors.affiliation: Ataturk Training and Research Hospital, Katip Celebi University, Izmir, Turkey. Electronic address: dilekaltin9@hotmail.com.
authors.forename: D
authors.initials: D
authors.lastname: Akyuz
authors.affiliation: Ataturk Training and Research Hospital, Katip Celebi University, Izmir, Turkey. Electronic address: barozcem@yahoo.com.
authors.forename: B
authors.initials: B
authors.lastname: Ozcem
authors.affiliation: Special Akut Cardiovascular Surgical Hospital, Izmir, Turkey. Electronic address: etulukoglu@yahoo.com.
authors.forename: E
authors.initials: E
authors.lastname: Tulukoğlu
authors.affiliation: Ataturk Training and Research Hospital, Katip Celebi University, Izmir, Turkey. Electronic address: agurbuz@yahoo.com.
authors.forename: A
authors.initials: A
authors.lastname: Gurbuz
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016893:Carotid Stenosis / Q000175:diagnosis / Q000601:surgery*; D016894:Endarterectomy, Carotid / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000379:methods*; D012008:Recurrence; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: Carotid artery; Conventional; Endarterectomy; Endartériectomie; Endartériectomie conventionnelle; Endartériectomie par éversion Carotide; Eversion