Eversion endarterectomy - out?

Carotid eversion endarterectomy has become a well established alternative t o conventional carotid endarterectomy. Similar perioperative morbidity and mortality results have been documented in several large clinical series. Ou r experience with carotid reconstructive surgery consists of 12 596 operati ons between 8/84 and 12/97, some 60% of which were performed using the ever sion technique. Transient or permanent neurologic deficit was observed in 2 .0%; 0.8% died after the procedure. Eversion endarterectomy should only be performed under suitable anatomic conditions. It is a challenging technique which requires advanced surgical skills and sound clinical judgement. The long-term rate of restenosis seems to be influenced favourably after eversi on endarterectomy.