New carotid endarterectomy study findings recently were reported by researchers at Institute for Cardiovascular Disease
December 8th, 2008
2008 DEC 8 -- Investigators publish new data in the report 'Single-center prospective, randomized analysis of conventional and eversion carotid endarterectomy.' According to recent research published in the Journal of Cardiovascular Surgery, "Several studies, comparing early and long-term results of the conventional carotid endarterectomy (CEA) and eversion carotid endarterectomy (EEA), were conducted for past 10 years. Nevertheless, it still remaining difficult to choose optimal endarterectomy technique."
"Choice yet mainly depends of experience of attending surgeon. The aim of this study was the comparison early and long-term results of the EEA and CEA. Randomly, 103 patients were operated on in the eversion, and 98 patients in the conventional technique; 97 (48.3%) patients were asymptomatic and 104 (51.7%) had symptomatic lesions. All patients underwent preoperative cervical duplex scanning and neurological examination. The surgical procedure was carried out under general anesthesia. In cases with retrograde blood pressure less than 20 mmHg shunt was used; 78.6% of all CEA were finished up with 'patch' angioplasty and 21.4% by primary suture. The primary outcomes were perioperative and late mortality, perioperative and late central neurological complications, a long-term survival rate and late restenosis incidence. The mean follow-up was 38 months. Mortality and long-term survival rate were similar in compared groups. The perioperative central neurological complications incidence were comparable in study groups (3.9% vs 12.1% , odds ratio 3.45, 95% confidence interval 1.1-11.1; p=0.029). The late restenosis incidence was significantly lower in eversion group (0.0% vs 6.1%). EEA has an advantage over the conventional procedure," wrote D.M. Markovic and colleagues, Institute for Cardiovascular Disease.
The researchers concluded: "The authors recommend CEA in cases when retrograde pressure indicated the use of the intraluminal shunting."
Markovic and colleagues published their study in the Journal of Cardiovascular Surgery (Single-center prospective, randomized analysis of conventional and eversion carotid endarterectomy. Journal of Cardiovascular Surgery, 2008;49(5):619-25).
For additional information, contact D.M. Markovic, Clinic for Vascular Surgery, Institute for Cardiovascular Diseases, Clinical Center of Serbia, Belgrade, Serbia.
The publisher's contact information for the Journal of Cardiovascular Surgery is: Edizioni Minerva Medica, Corso Bramante 83-85 International Journals Dept., 10126 Turin, Italy.
This article was prepared by Pain & Central Nervous System Week editors from staff and other reports. Copyright 2008, Pain & Central Nervous System Week via NewsRx.com.
