Immediate and long-term results of eversion carotid endarterectomies

Abstract

Objective. To study the immediate and long-term results of the new modified technique of eversion carotid endarterectomy (ECEAE). Material and method. The study involved 150 patients with 60–99% stenosis of the internal carotid artery (ICA) who were divided into 2 groups depending on the type of surgical treatment: Group1 (n=61) – patients underwent ECEAE according to the method developed by V.L. Sergeev et al.; Group 2 (n=89) – patients underwent ECEAE according to the method described by R. Kieny. The immediate and long-term results of the two ECEAE methods were evaluated. Results. In the immediate postoperative period, no advantages of any of the ECEAE methods were revealed. In the distant postoperative period, 24 (16.8%) patients died. The incidence of non-fatal ischemic stroke on the operation side was 0% in Group1 and 7,1% in Group 2; the incidence of ICA restenosis formation was 1,7 and 11,7% respectively (p<0,05); 34,6 and 10,4% of patients returned to their labor activity and the complete regression of complaints was achieved in 61,5 and 20,9% respectively. Conclusion. Thus, ECEAE according to the method V.L. Sergeev in the distant postoperative follow-up period showed its safety and efficacy and can be recommended for wider implementation in practical medicine.