The Results of Eversion Endarterectomy for Carotid Artery Stenosis.
10.5758/kjves.2012.28.1.32
- Author:
Jeong Yeong PARK
1
;
Woo Hyung KWUN
;
Bo Yang SUH
Author Information
1. Department of Suregry, Yeungnam University College of Medicine, Daegu, Korea. whkwun@med.yu.ac.kr
- Publication Type:Original Article
- Keywords:
Carotid stenosis;
Endarterectomy;
Eversion technique
- MeSH:
Brain;
Carotid Arteries;
Carotid Stenosis;
Constriction;
Cranial Nerve Diseases;
Demography;
Endarterectomy;
Endarterectomy, Carotid;
Follow-Up Studies;
Hematoma;
Hemorrhage;
Humans;
Korea;
Male;
Myocardial Infarction;
Retrospective Studies;
Stroke
- From:Journal of the Korean Society for Vascular Surgery
2012;28(1):32-36
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Potential benefits of eversion carotid endarterectomy (eCEA) compared with conventional carotid enderterectomy (cCEA) are more simple and faster reanastomosis with a low risk of restenosis. However, in Korea, eCEA is not popular having only one report of eCEA. This study aimed to investigate the results of eCEA. METHODS: From July 2008 to September 2010, authors performed 36 eCEAs for patients with carotid artery stenosis in our hospital. Patients' demographics and clinical data were retrospectively reviewed. Regarding early (<30 days) results including the frequency of postoperative stroke, myocardial infarction, cerebral hyperperfusion syndrome, bleeding, cranial nerve palsy, new brain lesions (NBLs) on diffuse-weighted MRI (DW-MRI) and mortality were examined. Mid-term results such as stroke, death and restenosis after over thirty days were also examined. RESULTS: Mean age was 66.6 years old and 88.9% of the patients were male. Twenty-four patients (66.7%) had a previous neurological event in the preceding 6 months. A carotid shunt was used in 3 cases (8.3%) and mean carotid clamping time was 25.4 minutes. One case (2.8%) of non-disabling ipsilateral stroke, 1 case (2.8%) of wound hematoma and 1 case (2.8%) of cranial nerve palsy developed after operation. DW-MRI was conducted in 27 patients (75.0%) and NBLs were detected in 4 patients (11.1%). One case (2.8%) of restenosis was discovered during the follow-up period (mean, 9.0 months), and there were no strokes or death. CONCLUSION: Early and mid-term postoperative stroke and complication rates of eCEA were acceptable in our series. However, to assess efficacy of eCEA, further large-volumed and long-term follow-up studies are needed.
