Endarterectomy and Reimplantation for Carotid Stenosis

A randomized study on eversion versus standard carotid endarterectomy: Study design and preliminary results: The Everest Trial

“…The only previous randomized study failed to show substantial benefits for the use of eversion CEA; however, the study was monocentric and included a relatively small series of patients. 4 EVEREST was designed to determine early and late consequences of treatment with eversion CEA. The rationale for this study was derived from the relative reluctance to perform eversion technique, despite its encouraging results regarding restenosis rates.…”

“…The rationale for this study was derived from the relative reluctance to perform eversion technique, despite its encouraging results regarding restenosis rates. [2][3][4][5][6][7][8][9][10][11][12] At a time when endovascular treatment for carotid stenosis is coming of age, we believe that every possible surgical approach to the carotid artery should be carefully investigated to compare outcomes and thus use the optimal treatment strategy.…”

“…Eversion CEA, although not as widely used as standard CEA, has obtained consensus and has been shown to be associated with low perioperative stroke and restenosis rates. [1][2][3][4][5][6][7][8][9][10][11][12] Whether the surgical technique (eversion or standard CEA) can influence the outcome and durability of CEA, however, remains unclear. The rate of carotid restenosis after CEA can be interpreted as a A randomized study on eversion versus standard carotid endarterectomy: Study design and preliminary results: The Everest Trial measure of CEA durability.…”

“…16,20,21 The prospective studies that have compared the outcomes of eversion and conventional CEA have been few and small; for this reason, definitive conclusions have not been drawn. 4,5,12 To evaluate the feasibility and durability of eversion CEA, a multicenter randomized trial (the EVERsion carotid Endarterectomy versus Standard Trial [EVEREST]) was designed to assess the relationship between eversion CEA and early and late carotid occlusion, restenosis, and stroke and death rates. The current report focuses on the study design and preliminary results.…”

Eversion versus conventional carotid endarterectomy: Late results of a prospective multicenter randomized trial

“…Eversion CEA prevents the longitudinal arteriotomy of the internal carotid artery, provides optimal correction of an elongated internal carotid artery, and has been associated with low restenosis rates. [5][6][7][8][9][10][11][12][13][14] The EVEREST (EVERsion carotid Endarterectomy versus Standard Trial) was designed to evaluate the feasibility and durability of eversion CEA.…”