title: [Clinical analysis of two carotid endarterectomy procedures in treating carotid artery stenosis].
abstract: OBJECTIVE
  To analyze the effectiveness and costs of the eversion carotid endarterectomy (eCEA) and the carotid endarterectomy with patch angioplasty (pCEA) in treating carotid artery stenosis.
  
  
  METHODS
  Patients with carotid artery stenosis who underwent the carotid endarterectomy in the vascular surgery department of Peking Union Medical College Hospital from October 2009 to October 2012 were enrolled in this study. According to the two different surgical procedures, the patients were divided into eCEA group and pCEA group.
  
  
  RESULTS
  The two groups were not significantly different in terms of gender ,age ,risk factors, stenosis degree of carotid artery, and the ratio of bilateral lesions (all P>0.05).The ratio of shunt and antibiotics application, operative time, hospitalization cost, and length of hospital stay in the eCEA group were significantly lower than those in pCEA group (P<0.05).The therapeutic effectiveness, complications, surgery-related death, restenosis, and ipsilateral stroke were not significantly different between these two groups (P>0.05).
  
  
  CONCLUSIONS
  Both surgical procedures are safe and effective in treating the carotid artery stenosis;however, eCEA has lower cost when compared with pCEA and therefore can be used as the first choice.
authors.affiliation: Department of Vascular Surgery,PUMC Hospital,CAMS and PUMC,Beijing 100730,China.
authors.forename: Yong-peng
authors.initials: YP
authors.lastname: Diao
authors.affiliation: Department of Vascular Surgery,PUMC Hospital,CAMS and PUMC,Beijing 100730,China.
authors.forename: Chang-wei
authors.initials: CW
authors.lastname: Liu
authors.affiliation: Department of Vascular Surgery,PUMC Hospital,CAMS and PUMC,Beijing 100730,China.
authors.forename: Xiao-jun
authors.initials: XJ
authors.lastname: Song
authors.affiliation: Department of Vascular Surgery,PUMC Hospital,CAMS and PUMC,Beijing 100730,China.
authors.forename: Yue-xin
authors.initials: YX
authors.lastname: Chen
authors.affiliation: Department of Vascular Surgery,PUMC Hospital,CAMS and PUMC,Beijing 100730,China.
authors.forename: Li-long
authors.initials: LL
authors.lastname: Guo
authors.affiliation: Department of Vascular Surgery,PUMC Hospital,CAMS and PUMC,Beijing 100730,China.
authors.forename: Yue-hong
authors.initials: YH
authors.lastname: Zheng
authors.affiliation: Department of Vascular Surgery,PUMC Hospital,CAMS and PUMC,Beijing 100730,China.
authors.forename: Bao
authors.initials: B
authors.lastname: Liu
authors.affiliation: Department of Vascular Surgery,PUMC Hospital,CAMS and PUMC,Beijing 100730,China.
authors.forename: Wei
authors.initials: W
authors.lastname: Ye
authors.affiliation: Department of Vascular Surgery,PUMC Hospital,CAMS and PUMC,Beijing 100730,China.
authors.forename: Xia
authors.initials: X
authors.lastname: Lu
authors.affiliation: Department of Vascular Surgery,PUMC Hospital,CAMS and PUMC,Beijing 100730,China.
authors.forename: Yong-jun
authors.initials: YJ
authors.lastname: Li
mesh_terms: D000368:Aged; D002343:Carotid Artery, Internal / Q000601:surgery*; D016893:Carotid Stenosis / Q000601:surgery*; D016894:Endarterectomy, Carotid / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies