Preventive eversion endarterectomy in patients with stenosis of the carotid artery imparing cerebral hemodynamics

Marek Motyka; Krzysztof Szczechowski; Maciej Idzik; Barbara Tomaszek-Słota

doi:10.5603/chp.29003

Vol 5, No 2 (2003)

Published online: 2003-05-26

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Preventive eversion endarterectomy in patients with stenosis of the carotid artery imparing cerebral hemodynamics

Marek Motyka, Krzysztof Szczechowski, Maciej Idzik, Barbara Tomaszek-Słota

DOI: 10.5603/chp.29003

Chirurgia Polska 2003;5(2):97-102.

Vol 5, No 2 (2003)

Published online: 2003-05-26

Abstract

Background: Preventive endarterectomy is an established treatment in patients with advanced stenosis of carotid arteries. The main operative strategies are endarterectomy with a simple suture, endarterectomy with subsequent plastic surgery (venous or artificial patch) or eversion endarterectomy.
The aim of the study is to estimate the effects of treatment of carotid artery stenosis by means of eversion endarterectomy.
Material and methods: The project was designed as a prospective, non-randomised study. There were 141 eversion endarterectomies among 224 endarterectomies performed in 2001.
Results: The effects of eversion endarterectomy were excellent. We were able to estimate the number of complications (death, stroke, early asymptomatic obstruction and restenosis). The effectiveness of its management was assessed by means of clinical evaluation and duplex scan ultrasonography.
Conclusion: Eversion endarterectomy is a valuable therapeutic strategy, especially in cases of coexistent arterial flexures and elongations.