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http://dx.doi.org/10.3340/jkns.2019.0201

Eversion Carotid Endarterectomy : A Short Review  

Davidovic, Lazar B. (School of Medicine, University of Belgrade)
Tomic, Ivan Z. (Clinic for Vascular and Endovascular Surgery, Clinical Center of Serbia)
Publication Information
Journal of Korean Neurosurgical Society / v.63, no.3, 2020 , pp. 373-379 More about this Journal
Abstract
Carotid endarterectomy (CEA) is the main procedure in carotid surgery, as well as the most frequent vascular procedure. Two techniques of CEA are available : eversion and conventional plus patch angioplasty. Eversion CEA is anatomic procedure that reduces ischemic and total operative time. Simultaneous correction of the joined carotid kinking and coiling is possible, easy and safe, while the usage of patch is excluded. Thanks to oblique shape of anastomosis, eversion CEA is associated with low risk of long-term restenosis. The false anastomotic aneurysms occurrence is very rare, almost impossible after eversion CEA. However, the usage of carotid shunt during eversion CEA is not always simple, while proximal or distal extension of the carotid plaque can make eversion CEA more difficult and risky. Eversion CEA should be the first choice in carotid surgery. Conventional CEA is indicated in cases when carotid plaque is extended more than usual, as well as, if the usage of carotid shunt is necessary.
Keywords
Endarterectomy; Eversion; Carotid; Artery;
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