Comparison of Results Classical and Eversion Carotid Endarterectomy.
INTRODUCTION
Atherosclerosis blood vessels, be it on extra-cranial or intra-cranial circulation, the most common cause of incidents such as cerebro-vascular insult (ICV). Carotid endarterectomy (CEA) is a preventive operation to reduce the risk of stroke and it can be performed by eversion carotid endarterectomy (E-CEA) or a classical carotid endarterectomy (C-CEA). The aim of this study was to investigate the influence of the used techniques in basic perioperative results and the incidence of postoperative complications.


MATERIALS AND METHODS
It was retrospective-prospective study that involved 173 patients, with carotid stenosis, who underwent CEA, in the period of time December 2013 till December 2016. Subjects were divided into two groups in respect of technique: 90 patients were treated with E-CEA and 83 patients were treated with C-CEA.


RESULTS
Between two groups revealed a significant difference in favor of the patients from group E-CEA in the length of the surgery (92.56 ± 29.11 min. vs. 104.04 ± 18.01 min., P = 0.000), the time of clamping the carotid arteries (11.83 ± 1.81 min. vs. 23.69 ± 5:39 min., p = 0.000), the amount of post-operative drainage (25.33 ± 24.67 ml. vs. 36.14 ± 14:32 ml., p = 0.001), time spent in the intensive care unit (± 25.43 vs. 13:51 hours 34.54 ± 35.81 hours, p = 0.000), and the length of stay (4.60 ± 0.90 days vs. 5:42 ± 1.80 days, p = 0.001). In the patients of the group E-CEA, fewer number of individual postoperative complications without statistical significance: ICV (2.2% vs. 4.8%, p = 0.351), cardiac arrhythmia (2.2% vs. 4.8%, p = 0.351), transitory ischaemic attack (TIA) and cognitive disorder (2.2% vs. 7.2%, p = 0.117), mortality (1.1% vs. 1.2%, p = 0.954); and the total number of postoperative complications was significantly less in the same patients (7.77% vs. 18.7%, p = 0.042).


CONCLUSION
The results of this study clearly indicate that operating techniques affects the specified monitored outcomes of vascular treatment of carotid arteries in favor of E-CEA technique. It would be ideally that the conclusions of this study contribute to broader use of E-CEA in treatment of carotid stenosis.
['Djedovic|Muhamed|M|', 'Mujanovic|Emir|E|', 'Hadzimehmedagic|Amel|A|', 'Totic|Dragan|D|', 'Vukas|Haris|H|', 'Vranic|Haris|H|']
D000368:Aged D000369:Aged, 80 and over D001281:Atrial Fibrillation D016893:Carotid Stenosis D003072:Cognition Disorders D003422:Critical Care D016894:Endarterectomy, Carotid D005260:Female D006760:Hospitalization D006801:Humans D002546:Ischemic Attack, Transient D008297:Male D008875:Middle Aged D009203:Myocardial Infarction D061646:Operative Time D011183:Postoperative Complications D011446:Prospective Studies D012189:Retrospective Studies D020521:Stroke D016896:Treatment Outcome
eversion carotid endarterectomy Atherosclerosis carotid endarterectomy classic