Atherosclerosis Occlusive Disease, Endarterectomy, Carotid, Stroke (CVA) or Transient Ischemic Attack
Conditions
Brief summary
Atherosclerotic carotid artery disease is responsible for approximately 20% of strokes worldwide, and its treatment options include medical therapy, surgery, and stenting.Surgical management is prioritized over medical and stent based approaches and can be performed using either the conventional methed closed primarily or with a patch or the eversion technique.The aim of this study was to compare the intraoperative and early postoperative outcomes of the eversion technique and the conventional method with primary closure.
Interventions
PROCEDURECarotid endarterectomy, conventional
In this study, patients were divided into two groups according to whether they underwent conventional or eversion endarterectomy. Although the eversion technique is the oldest method, the conventional approach is still widely performed due to its ease of application, despite not being recommended in current guidelines. Therefore, our aim is to contribute to the literature by comparing these two methods. The conventional method is performed with a longitudinal incision extending from the common carotid artery (CCA) to the internal carotid artery (ICA) up to the end of the plaque. The arteriotomy is then closed either primarily or with the use of a patch. In our study, we performed only the primary closure method..
PROCEDURECarotid endarterectomy, eversion
In this study, patients were divided into two groups according to whether they underwent conventional or eversion endarterectomy. Although the eversion technique is the oldest method, the conventional approach is still widely performed due to its ease of application, despite not being recommended in current guidelines. Therefore, our aim is to contribute to the literature by comparing these two methods.The eversion method is performed by transecting the internal carotid artery (ICA) from the common carotid artery (CCA). The arteriotomy is then closed in an end to side fashion.
Sponsors
Kastamonu University
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
-Patients undergoing isolated carotid endarterectomy, either emergently or electively
Exclusion criteria
* Patients younger than 18 years of age * Patients scheduled for concomitant cardiac surgery * Reoperations
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants with stroke and death | 30 days | All strokes and/or deaths occurring within 30 days after surgery |
| Number of participants with symptoms of occlusion | Postoperative 30 days | Early carotid restenosis or occlusion within 30 days after surgery |
Countries
Turkey (Türkiye)
Outcome results
None listed