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

Cao, Piergiorgio; Giordano, Giuseppe; Rango, Paola De; Zannetti, Simona; Chiesa, Roberto; Coppi, Gioacchino; Palombo, Domenico; Peinetti, F; Spartera, C; Stancanelli, V; Vecchiati, Enrico

doi:10.1016/s0741-5214(00)70064-4

Cited by 150 publications

(108 citation statements)

References 40 publications

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“…However, standard CEA with patch angioplasty had the lowest incidence of neurologic events. Both differences were not statistically significant [13]. Two years later, authors of EVERST study concluded that reduced restenosis after eversion CEA, did not appear to be associated with clinical benefit in terms of reduced stroke risk, either preoperatively or later [14].…”

Section: Reviewmentioning

confidence: 91%

“…Numerous studies have compared standard CEA plus patching with eversion once [7][8][9][10][11][12][13][14][15][16][17][18]. Regarding the total operating and ischemic time, as well as perioperative complications, first studies has favored to eversion CEA [7,8].…”

Section: Reviewmentioning

confidence: 99%

“…Primary endpoints included carotid occlusion, major stroke, death, and restenosis rate [11]. The phases of EVEREST trial will be showcased [11][12][13][14].…”

Section: Reviewmentioning

confidence: 99%

“…8). Eversion CEA, which employs a transverse arteriotomy and reimplantation of the internal carotid artery or end-to-end anastomosis between proximal and distal segments of the common carotid artery, is reported to be associated with low restenosis [7][8][9][10][11][12][13][14][15][16][17][18][19]. The false anastomotic aneurysms occurrence during the follow-up period is almost impossible [17,19].…”

Section: Reviewmentioning

confidence: 99%

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Carotid Endarterectomy: Eversion Technique

Davidović¹,

Tomić²,

Marković³

et al. 2015

UCMS

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Abstract:The aim of this article is to explain technique of eversion CEA (carotid endarterectomy), as well as to determine that eversion CEA is more effective than conventional CEA. Eversion CEA can be performed in two methods. When atherosclerotic process mostly involves common carotid artery, the procedure should start with common carotid transection, followed by eversion CEA in cranial and than in caudal direction. The final step is reanastomosis. If atherosclerotic process is mostly localized at the internal carotid artery origin, procedure begins with origin transection. The following steps are eversion endarterectomy of the internal carotid artery, then endarterectomy of carotid bifurcation if it is necessary, and reimplantation of the internal carotid artery. There is no obvious consensus that eversion CEA is superior in regard to conventional one. However, eversion CEA is anatomic procedure that reduces ischemic and total operative time, as well as restenosis and false anastomotic aneurysms occurrence during the follow-up period. It excludes the usage of patches and enables simultaneous correction of the joined kinking or coiling. Eversion CEA, performed by an experienced surgeon is safe, effective, and durable procedure.

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Section: Reviewmentioning

confidence: 91%

Section: Reviewmentioning

confidence: 99%

“…Primary endpoints included carotid occlusion, major stroke, death, and restenosis rate [11]. The phases of EVEREST trial will be showcased [11][12][13][14].…”

Section: Reviewmentioning

confidence: 99%

Section: Reviewmentioning

confidence: 99%

See 2 more Smart Citations

Carotid Endarterectomy: Eversion Technique

Davidović¹,

Tomić²,

Marković³

et al. 2015

UCMS

View full text Add to dashboard Cite

show abstract

“…Most surgeons do open carotid endarterectomy but some prefer the eversion endarterectomy technique. A couple of randomized trials, including the EVEREST study, suggested that the eversion endarterectomy method carries equivalent or lower death and stroke rates 14,15 . However, the technique is not suitable for all patients and a carotid shunt is not easily inserted during the procedure.…”

Section: Operative Techniquementioning

confidence: 99%