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Changing From Conventional to Eversion Endarterectomy in Carotid Artery Disease-A Safe Transition Process in the Short and Long Term

Wistrand, Jonatan; Mätzsch, Thomas LU ; Goncalves, Isabel LU ; Riva, Lorenzo and Dias, Nuno LU (2010) In Vascular and Endovascular Surgery 44(7). p.539-544
Abstract
Objectives: To evaluate the transition process from conventional carotid endarterectomy (cCEA) to eversion carotid endarterectomy (eCEA). Methods: Patients operated with carotid endarterectomy (CEA; 164 patients, 171 CEA) in 2002-2003 were retrospectively included. Results: In 2002, cCEA was applied in 64 (80%) and eCEA in 16 (20%) patients. There was an inversion on the preponderant surgical technique in 2003 (cCEA in 34 patients [37%] and eCEA in 57 patients [63%]). Perioperative stroke or death occurred in 3 patients (3.8%) in 2002 and 5 (5.5%) in 2003 (P-.78). Perioperative myocardial infarction occurred in 2 patients (2.5%) in 2002 and 2 in 2003 (2.2%, P = 1.00). Median follow-up was 83 (79-86) and 70 (67-74) months for the 2002 and... (More)
Objectives: To evaluate the transition process from conventional carotid endarterectomy (cCEA) to eversion carotid endarterectomy (eCEA). Methods: Patients operated with carotid endarterectomy (CEA; 164 patients, 171 CEA) in 2002-2003 were retrospectively included. Results: In 2002, cCEA was applied in 64 (80%) and eCEA in 16 (20%) patients. There was an inversion on the preponderant surgical technique in 2003 (cCEA in 34 patients [37%] and eCEA in 57 patients [63%]). Perioperative stroke or death occurred in 3 patients (3.8%) in 2002 and 5 (5.5%) in 2003 (P-.78). Perioperative myocardial infarction occurred in 2 patients (2.5%) in 2002 and 2 in 2003 (2.2%, P = 1.00). Median follow-up was 83 (79-86) and 70 (67-74) months for the 2002 and 2003 cohorts, respectively, and there were no differences in survival or ipsilateral stroke between the groups. Conclusions: The transition from cCEA to eCEA is possible without significant changes in morbidity and mortality perioperatively and during follow-up. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
technique, eversion, carotid endarterectomy, conventional, transition
in
Vascular and Endovascular Surgery
volume
44
issue
7
pages
539 - 544
publisher
SAGE Publications Inc.
external identifiers
  • wos:000281798900004
  • scopus:77956925168
ISSN
1938-9116
DOI
10.1177/1538574410375131
language
English
LU publication?
yes
id
45e09d18-0ca8-4547-8921-dddeebf3375c (old id 1694016)
date added to LUP
2010-10-26 11:56:07
date last changed
2018-05-29 11:01:27
@article{45e09d18-0ca8-4547-8921-dddeebf3375c,
  abstract     = {Objectives: To evaluate the transition process from conventional carotid endarterectomy (cCEA) to eversion carotid endarterectomy (eCEA). Methods: Patients operated with carotid endarterectomy (CEA; 164 patients, 171 CEA) in 2002-2003 were retrospectively included. Results: In 2002, cCEA was applied in 64 (80%) and eCEA in 16 (20%) patients. There was an inversion on the preponderant surgical technique in 2003 (cCEA in 34 patients [37%] and eCEA in 57 patients [63%]). Perioperative stroke or death occurred in 3 patients (3.8%) in 2002 and 5 (5.5%) in 2003 (P-.78). Perioperative myocardial infarction occurred in 2 patients (2.5%) in 2002 and 2 in 2003 (2.2%, P = 1.00). Median follow-up was 83 (79-86) and 70 (67-74) months for the 2002 and 2003 cohorts, respectively, and there were no differences in survival or ipsilateral stroke between the groups. Conclusions: The transition from cCEA to eCEA is possible without significant changes in morbidity and mortality perioperatively and during follow-up.},
  author       = {Wistrand, Jonatan and Mätzsch, Thomas and Goncalves, Isabel and Riva, Lorenzo and Dias, Nuno},
  issn         = {1938-9116},
  keyword      = {technique,eversion,carotid endarterectomy,conventional,transition},
  language     = {eng},
  number       = {7},
  pages        = {539--544},
  publisher    = {SAGE Publications Inc.},
  series       = {Vascular and Endovascular Surgery},
  title        = {Changing From Conventional to Eversion Endarterectomy in Carotid Artery Disease-A Safe Transition Process in the Short and Long Term},
  url          = {http://dx.doi.org/10.1177/1538574410375131},
  volume       = {44},
  year         = {2010},
}