Eversion endarterectomy for carotid artery stenosis

Abstract EN

Objective : to evaluate the efficacy and feasibility of using eversion endarterectomy for treatment of carotid artery stenosis.

Methods : during 2006, 23 patients (17 male, 6 female, aged 38-84 years, 10 symptomatic, 13 asymptomatic, 3 had bilateral stenosis), underwent eversion endarterectomy of the carotid artery at the Vascular Department in Queen Alia Military Hospital.

Nine patients (4 male, 5 female aged 52-73 years) were treated using standard open carotid endarterectomy with patch angioplasty.

Surgery was performed under regional anesthesia in 24 patients and under general anesthesia in 8 patients.

Results : technical and anatomical success was achieved in all patients, recovery was uneventful .After two years of follow up with duplex no occlusion or restenosis were encountered.

Conclusion : based on this experience eversion endarterectomy is a useful technique for the treatment of carotid stenosis and should be considered as one of the tools used to treat patients with carotid stenosis.