Mid-term results of carotid endarterectomy in patients with contralateral carotid lesion

Long-term outcomes of eversion and conventional carotid endarterectomy: A multicenter clinical trial

“…Excessive expansion of carotid bifurcation often results in the alterations of the flow pattern which becomes turbulent, entailing thrombosis and neointimal hyperplasia [26–30]. This, the inferiority of CCEA revealed in our trial concurs with those obtained in other studies [5,20,31] . A personalised computer simulation approach to patch selection to match arterial geometry remains the only option for the prevention of CCEA-associated complications which, however, remains rarely available [26–30] .…”

“…Currently, the surgeon is fully responsible for the choice of the intervention and the patch, while needing to take into account both clinical scenario and healthcare setting [16][17][18] . Short-and long-term efficiency of ECEA and CCEA remains a matter of debate [19][20][21][22] . While several studies showed equal efficiency of these interventions, others demonstrated the inferior outcomes upon CCEA as patch angioplasty is associated with higher incidence of ICA restenosis and subsequent stroke [20][21][22][23][24] .…”

“…Short-and long-term efficiency of ECEA and CCEA remains a matter of debate [19][20][21][22] . While several studies showed equal efficiency of these interventions, others demonstrated the inferior outcomes upon CCEA as patch angioplasty is associated with higher incidence of ICA restenosis and subsequent stroke [20][21][22][23][24] . However, current national guidelines authorise both of the indicated techniques, largely due to the lack of relevant multicenter studies in Russian Federation [18] .…”

Carotid Enadrterectomy for Thrombosis of the Internal Carotid Artery in Patients With COVID-19

“…Speaking about the choice of the type of carotid endarterectomy, it is necessary to note the importance of the glomus-sparing eversion technique. The rejection of the classical technique with patch implantation is justified by the reduction in the duration of the operation and the risk of restenosis in the mid-term follow-up period [ 22 , 23 ]. Preservation of the carotid glomus during carotid endarterectomy made it possible to control blood pressure at the level of normotonia in the early postoperative period.…”

Temporary shunt and carotid endarterectomy (review of literature)

“…Споры о необходимости установки временного шунта (ВШ) в тех или иных условиях во время выполнения каротидной эндартерэктомии (КЭЭ) не утихали никогда [1][2][3][4][5]. Существующая реальность привела к тому, что ВШ можно применять и селективно, и рутинно, и вообще отказаться от его использования [1, [6][7][8][9]. И до тех пор, пока рекомендации не представят указания с абсолютным уровнем доказательности, сообщество практикующих сосудистых хирургов будет разделено на два лагеря -сторонников и противников ВШ.…”