H Y Osman1, C P Gibbons. 1. Department of Surgery, Morriston Hospital, Swansea SA6 6NL, UK.
Abstract
INTRODUCTION: Technical defects are a potential cause of peri-operative strokes following carotid endarterectomy (CEA) by either the eversion technique or the standard method of longitudinal arteriotomy with or without patch closure. AIM: A non-randomised retrospective study was undertaken to assess the value of angioscopy for the identification of technical errors following CEA and to compare those detected following eversion and standard endarterectomy with patch closure. MATERIALS AND METHODS: Intra-operative completion angioscopy was performed following 110 CEAs (56 eversion, 54 standard). Angioscopy was omitted in 5 patients because of technical problems (2) or extreme shunt dependency (3). RESULTS: Significant technical defects were identified and corrected in 10 cases (9%) and were equally distributed between the eversion and standard procedures. There was no peri-operative stroke or death in this series. CONCLUSIONS: Significant residual defects may occur after CEA by either technique. Angioscopy allows their correction peri-operatively and has the potential to reduce peri-operative stroke.
INTRODUCTION: Technical defects are a potential cause of peri-operative strokes following carotid endarterectomy (CEA) by either the eversion technique or the standard method of longitudinal arteriotomy with or without patch closure. AIM: A non-randomised retrospective study was undertaken to assess the value of angioscopy for the identification of technical errors following CEA and to compare those detected following eversion and standard endarterectomy with patch closure. MATERIALS AND METHODS: Intra-operative completion angioscopy was performed following 110 CEAs (56 eversion, 54 standard). Angioscopy was omitted in 5 patients because of technical problems (2) or extreme shunt dependency (3). RESULTS: Significant technical defects were identified and corrected in 10 cases (9%) and were equally distributed between the eversion and standard procedures. There was no peri-operative stroke or death in this series. CONCLUSIONS: Significant residual defects may occur after CEA by either technique. Angioscopy allows their correction peri-operatively and has the potential to reduce peri-operative stroke.
Authors: C D Irvine; S E Cole; P X Foley; S T Brookes; M Morgan; Y Wilson; J Hayward; R N Baird; P M Lamont Journal: Eur J Vasc Endovasc Surg Date: 1998-09 Impact factor: 7.069
Authors: C E Bredenberg; M Iannettoni; M Rosenbloom; C J Hodge; G K Litvin; J C Aust; E Cacayorin Journal: J Vasc Surg Date: 1989-04 Impact factor: 4.268
Authors: Christoph Knappich; Thomas Lang; Pavlos Tsantilas; Sofie Schmid; Michael Kallmayer; Bernhard Haller; Hans-Henning Eckstein Journal: Ann Transl Med Date: 2021-07