[Eversion endarterectomy--out?].

Carotid eversion endarterectomy has become a well established alternative to conventional carotid endarterectomy. Similar perioperative morbidity and mortality results have been documented in several large clinical series. Our experience with carotid reconstructive surgery consists of 12,596 operations between 8/84 and 12/97, some 60% of which were performed using the eversion 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 eversion endarterectomy.