Carotid Endarterectomy: Eversion Technique

Lazar Davidovic, Ivan Tomic, Dragan Markovic, Siniša Pavlovic, Marko Dragas, Igor Banzic
2015 Journal of US-China Medical Science  
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
more » ... 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.
doi:10.17265/1548-6648/2015.03.002 fatcat:6tpcgk2x2ba5zev4wwlpyqa3hi