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Eversion endarterectomy of the internal carotid artery: Midterm results of a new technique

  • Original Articles
  • Published:
Annals of Vascular Surgery

Abstract

A new eversion endarterectomy technique was used in 65 internal carotid artery reconstructions in 56 patients. The original features of the technique include a complete oblique transection of the internal carotid artery distal to the lesion and eversion endarterectomy through a longitudinal incision of the common carotid and external carotid arteries. The mean age of the patients was 68.2±7.8 years. Seventy-three percent of the patients had hypertension and 45.5% had coronary heart disease. Fifty-four percent experienced neurologic symptoms (transient in 36%, reversible in 6%, and permanent in 11%). Operations were performed under general anesthesia. An indwelling shunt was inserted whenever routine stump pressure was <50 mm Hg. There were no neurologic complications but one patient died of a compression hematoma of the neck, for a combined mortality and morbidity rate of 1.5%. Arteriograms were obtained from all patients on day 5 and showed complete restoration of normal anatomy in all cases and thrombosis of the external carotid artery in one. During a mean follow-up of 27 ± 4.7 months no strokes were observed. Follow-up duplex scans showed no hemodynamically significant restenoses. Eversion endarterectomy is a reliable alternative to other reconstruction procedures of the internal carotid artery.

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Authors and Affiliations

  1. Service de Chirurgie Cardio-Vasculaire et Thoracique d'Angers, Angers

    Bruno Reigner MD, Philippe Reveilleau MD, Muriel Gayral MD, Xavier Papon MD, Bernard Enon MD & Jean -Michel Chevalier MD

  2. Service de Chirurgie Vasculaire, Hôpital Edouard Herriot, 69437, Lyon, Cédex 03, France

    Bruno Reigner MD, Philippe Reveilleau MD, Muriel Gayral MD, Xavier Papon MD, Bernard Enon MD & Jean -Michel Chevalier MD

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  1. Bruno Reigner MD
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  2. Philippe Reveilleau MD
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  3. Muriel Gayral MD
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  4. Xavier Papon MD
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  5. Bernard Enon MD
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  6. Jean -Michel Chevalier MD
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Reigner, B., Reveilleau, P., Gayral, M. et al. Eversion endarterectomy of the internal carotid artery: Midterm results of a new technique. Annals of Vascular Surgery 9, 241–246 (1995). https://doi.org/10.1007/BF02135282

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