Tankut Akay
Nationality
Turkey
Current Position
Professor doctor
Organization
Baskent University Faculty of Medicine Department of cardiovascular Surgery
Carotid Session

Topic: Modified eversion carotid endarterectomy, technique and pitfalls

Abstract

Stroke due to carotis stenosis is a major cause of death. Carotid endarterectomy (CEA) provides a definitive cure for treating this disease .We aimed to evaluated our outcome with CEA with modified eversion technique.


Between February 2015 and May 2022, a total of 147 eversion endarterectomy was performed by the same surgical team. The mean age was 71,3±9,4 years (range, 41–90), (%34,0) % were females, and 61% were symptomatic. Among this 147 patients 84 of them underwent modifed eversion carotid endaretrectomy. General anesthesia was employed in 34% of cases and regional blockage in the remaining cases. Median operation and ICA clamp time were and 12 minutes respectively. Early postoperative transient ischemic attack was observed in %1.1 which was resolved quickly.Early restenosis rates of >70% occurred in 1.1%

We believe that , CEA with a modified eversion carotid endaretrectomy technique is safe and achieves comparable outcomes to those of wellknown techniques. The major advantage is the short time of carotid clamp and operation time. It requires a great deal of coherence between the work of the surgeon and the first assistant, as well as a great experience of the surgical and anesthesia team. A long carotid plaque accompanied by the difficult exposure of the distal end may be unsuitable for this technique.

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