Comparison of carotid endarterectomy using primary closure, patch closure,and eversion techniques

BACKGROUND: This Study was undertaken to evaluate the role of eversion enda rterectomy in the management of extracranial carotid occlusive disease. METHODS: A retrospective review was performed of all patients undergoing ca rotid endarterectomy between July 1994 and July 1998. After reviewing the r ecords, patients were assigned to one of three groups: eversion (ECEA); ope n with primary closure (CEA degrees); or open with patch closure (CEAP). St atistical comparisons were made. RESULTS: The 190 index cases comprised 33 ECEA (17%), 15 CEA degrees (8%), and 142 CEAP (75%). Both ECEA and CEA degrees were more likely to be done o n males versus females compared with CEAP (P = 0.01), For the entire 190 ca ses, stroke occurred in 1 patient (0.5%); and myocardial infarction in 2 pa tients (1%), resulting in death in both. Two patients (1.4%) in the CEAP gr oup have undergone redo surgery at 8 and 24 months, CONCLUSIONS: This study demonstrates that eversion endarterectomy achieves early results similar to open endarterectomy with and without patch closure . Am J Surg. 1999;178:505-510, (C) 1999 by Excerpta Medica, Inc.