A randomized study on eversion versus standard carotid endarterectomy: Study design and preliminary results: The Everest Trial

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

doi:10.1016/s0741-5214(98)70223-x

Cited by 117 publications

(102 citation statements)

References 33 publications

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“…Their next report also, has shown slightly higher incidence of mid-term restenosis after standard CEA, but without statistical significance [12]. The result of next publication has been controversial.…”

Section: Reviewmentioning

confidence: 93%

“…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: 93%

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%

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Carotid Endarterectomy: Eversion Technique

Davidović¹,

Tomić²,

Marković³

et al. 2015

UCMS

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“…Most vascular surgeons prefer to use regional or local anesthesia; 16,20 this is the case at our institute. The benefits to this approach are that it permits neurological monitoring and possibly greater hemodynamic stability.…”

Section: Anesthesia Considerationsmentioning

confidence: 99%

Techniques in carotid artery surgery

Curtis

Johansen²

2008

FOC

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✓The major objective in carotid endarterectomy is to achieve safe and complete removal of intimal plaque and provide lasting, nonstenotic closure. Controversy exists as to which technical variation best achieves this. In this paper, the authors review the operative nuances and outcomes with conventional and eversion endarterectomy, with a focus on the latter. The views expressed reflect specific neurosurgical and vascular perspectives in the context of a multi-disciplinary stroke unit, where carotid stenosis is managed with all available open and endovascular means. The neurosurgical approach was almost entirely conventional endarterectomy with primary repair, while the vascular surgeons used the eversion method with few exceptions.

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