SComparison of Eversion
andSstandard Endarterectomy of Internal Carotid Artery
Janoušek L.1, Michálek P.2, Adamec M.1, Tošenovský P.1, Hájek P.2
1Klinika transplantační chirurgie, 2Klinika anestezie, resuscitace a intenzivní péče IKEM, Praha |
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Summary:
Stenotic process in internal carotid arteria (ACI) belongs to the most common arterial diseases.Matter
of choice in the prevention of serious neurological deficit is ICA endarterectomy (EA). In the retrospective
study authors describe results of eversion ICA EA performed in 56 patients. Control group
included 92 patientswithEAachieved by longitudinal incision. Both groupswere significantly different
in the time of ICA clamping (9 and 24 minutes respectively, p<0.001) and in the number of restenoses (2
and 9 respectively, p<0.05). New method of aversive EA with transversal arterial transsection can
decrease occurrence of early and late complications.
Key words:
endarterectomy of internal carotid artery, eversion technique, neurological complications,
restenosis
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