The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-0604
+8 800 250-18-12
  • (toll-free number for subscriptions)
    Mon-Fri from 10 a.m. to 6 p.m.

  • © 1998-2025
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Kazantsev A.N.

St. Petersburg City Alexandrovskaya Hospital

Chernykh K.P.

St. Petersburg City Alexandrovskaya Hospital

Lider R.Yu.

Kemerovo State Medical University

Bagdavadze G.Sh.

Alexandrovskaya Hospital

Andreychuk K.A.

Nikiforov All-Russian Center for Emergency and Radiation Medicine

Kalinin E.Yu.

Alexandrovskaya Hospital

Zaitseva T.E.

Alexandrovskaya Hospital

Chikin A.E.

Alexandrovskaya Hospital

Linets Yu.P.

Alexandrovskaya Hospital

Comparative results of conventional and eversion carotid endarterectomy

Authors:

Kazantsev A.N., Chernykh K.P., Lider R.Yu., Bagdavadze G.Sh., Andreychuk K.A., Kalinin E.Yu., Zaitseva T.E., Chikin A.E., Linets Yu.P.

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2020;13(6): 550‑555

DOI: 10.17116/kardio202013061550

Read: 1388 times

Download PDF (RU)
Contact the author
Table of contents

COMPARATIVE RESULTS OF CONVENTIONAL AND EVERSION CAROTID ENDARTERECTOMY
COMPARATIVE RESULTS OF CONVENTIONAL AND EVERSION CAROTID ENDARTERECTOMY

To cite this article:

Kazantsev AN, Chernykh KP, Lider RYu, et al. . Comparative results of conventional and eversion carotid endarterectomy. Russian Journal of Cardiology and Cardiovascular Surgery. 2020;13(6):550‑555. (In Russ.)
https://doi.org/10.17116/kardio202013061550

 
ЭндоКард
Подписка 2026 Кардиология и сердечно-сосудистая хирургия (Russian Journal of Cardiology and Cardiovascular Surgery)
 
МСФ на ЯМ
Использование инфографики авторами научных работ
Close metadata
Recommended articles:
Simu­ltaneous surgical treatment of a patient with bila­teral caro­tid stenosis and infrarenal aortic occlusion. Russian Journal of Cardiology and Cardiovascular Surgery. 2024;(5):550-555
Bifu­rcation stenting in patients with acute coro­nary syndrome. Russian Journal of Cardiology and Cardiovascular Surgery. 2025;(4):399-404
Long-term postoperative outcomes in patients with lumbosacral spine syno­vial cysts. Burdenko's Journal of Neurosurgery. 2024;(5):38-45
Perioperative silent stro­kes in caro­tid artery surgery: a systematic review and meta-analysis. Russian Journal of Anesthesiology and Reanimatology. 2025;(1):81-91
Computer cognitive training for prevention of postoperative cognitive dysfunction after simu­ltaneous coro­nary artery bypass grafting and caro­tid artery surgery: a pilot study. Russian Cardiology Bulletin. 2025;(3):54-61
Abstract:

OBJECTIVE

To analyze in-hospital and long-term results of conventional and eversion carotid endarterectomy (CEE).

MATERIAL AND METHODS

There were 1493 conventional CEEs with patch repair (group 1) for the period from January 2015 to December 2019. Group 2 comprised 637 eversion CEEs. In-hospital follow-up period was 6 days, long-term follow-up — 48.8±19.6 months. Incidence of complications including mortality, myocardial infarction (MI), stroke/transient ischemic attack (TIA), thrombosis/restenosis within the reconstruction zone and combined endpoint (death + stroke/TIA + MI) was evaluated.

RESULTS

There were no significant in-hospital differences in postoperative morbidity. Overall incidence of cardiovascular events after conventional CEE was 1.1% (n=17), after eversion CEE — 1.1% (n=7) (p=0.88). In long-term period, both groups were comparable regarding mortality (6.7% (n=101) vs. 6.9% (n=44), p=0.97), incidence of MI (5.5% (n=83) vs. 4.8% (n=31), p=0.58), stroke/TIA (5% (n=75) vs. 4.5% (n=29), p=0.72). Thrombosis/occlusion within the reconstruction zone (5.2% (n=79) vs. 5.3% (n=18), p=0.01) and significant restenosis (4.2% (n=64) vs. 2.1% (n=14), p=0.02) were more common after conventional CEE.

CONCLUSION

Conventional CEE with patch repair and eversion CEE ensure similar prevention of adverse cardiovascular events throughout in-hospital and long-term follow-up period. However, patch repair is characterized by higher incidence of thrombosis/restenosis/occlusion that makes eversion technique more preferable.

Keywords:

carotid endarterectomy
conventional carotid endarterectomy
patch
eversion carotid endarterectomy
restenosis
in-hospital results
long-term results

Authors:

Kazantsev A.N.

St. Petersburg City Alexandrovskaya Hospital

Chernykh K.P.

St. Petersburg City Alexandrovskaya Hospital

Lider R.Yu.

Kemerovo State Medical University

Bagdavadze G.Sh.

Alexandrovskaya Hospital

Andreychuk K.A.

Nikiforov All-Russian Center for Emergency and Radiation Medicine

Kalinin E.Yu.

Alexandrovskaya Hospital

Zaitseva T.E.

Alexandrovskaya Hospital

Chikin A.E.

Alexandrovskaya Hospital

Linets Yu.P.

Alexandrovskaya Hospital

Received:

11.03.2020

Accepted:

10.04.2020

Close metadata

References:

  1. Kazantsev AN, Tarasov RS, Burkov NN, et al. Carotid endarterectomy: three-year follow-up results in a single-center registry. Angiology and vascular surgery. 2018;24(3):101-108. (In Russ.).
  2. Kazantsev AN, Tarasov RS, Burkov NN, et al. Hospital results of percutaneous coronary intervention and carotid endarterectomy in hybrid and phased modes. Angiology and vascular surgery. 2019;25(1):101-107. (In Russ.).
  3. Management of Atherosclerotic Carotid and Vertebral Artery Disease: 2017 Clinical Practice Guidelines of the European Society for Vascular Surgery (ESVS).
  4. Kazantsev AN, Tarasov RS, Burkov NN, Shabaev AR, Mironov AV, Leader RYu, Grachev KI, Yakhnis EYa, Sargsyan MT, Soldatov EO. Predictors of complications in the long term after carotid endarterectomy. Surgery. 2019;(6):20-25. (In Russ.). https://doi.org/10.17116/hirurgia201906120
  5. Pokrovskiy AV, Golovyuk AL. The state of vascular surgery in the Russian Federation in 2018. Angiology and vascular surgery. Application. 2018;25(2):1-40. (In Russ.).
  6. Kuzhuget RA, Karpenko AA, Kamenskaya OV, Ignatenko PV, Starodubtsev VB, Postnov VG. Ways to improve the immediate and long-term results of carotid endarterectomy. Angiology and vascular surgery. 2016;22(1):111-117. (In Russ.).
  7. Tarasov RS, Kazantsev AN, Anufriev AI, Burkov NN, Shabaev AR, Bukhtoyarova VI, Grachev KI. Surgical factors of restenosis of the internal carotid artery after carotid endarterectomy. Cardiology and cardiovascular surgery. 2018;11(4):47-53. (In Russ.).
  8. Dakour-Aridi H, Ou M, Locham S, AbuRahma A et al. Outcomes following Eversion versus Conventional Endarterectomy in the Vascular Quality Initiative Database. Ann Vasc Surg. 2019;pii: S0890-5096(19)30769-1.  https://doi.org/10.1016/j.avsg.2019.07.021
  9. Pokrovskiy AV, Zotikov AYe, Adyrkhayev ZA i dr. Formation of a «new bifurcation» in patients with prolonged atherosclerotic lesion of the ICA. Atherothrombosis. 2018;2:141-146. (In Russ.).
  10. Fokin AA, Mudryakov MV. Immediate results of surgical prophylaxis of ischemic stroke in patients with contralateral occlusion of the internal carotid artery. Medical almanac. 2015;4(39):145-148. (In Russ.).
  11. Marsman MS, Wetterslev J, Vriens PWHE, Bleys RLAW, Jahrome AK, Moll FL, Keus F, Koning GG. Eversion technique versus conventional endarterectomy with patch angioplasty in carotid surgery: protocol for a systematic review with meta-analyses and trial sequential analysis of randomised clinical trials. BMJ Open. 2020;10(4):e030503. https://doi.org/10.1136/bmjopen-2019-030503
  12. Chait J, Nicoara M, Kibrik P, Ostrozhynskyy Y, Marks N, Rajaee S, Hingorani A, Ascher E. Early hemodynamic characteristics of eversion and patch carotid endarterectomies. J Ultrasound. 2019;22(4):433-436.  https://doi.org/10.1007/s40477.019.00384-3
  13. Chen GZ, Wu YZ, Diao PY, Ma L, Yan S, Chen XY, Liu WC, Zheng HY, Liu B, Li JY. Comparison of Eversion Carotid Endarterectomy and Patch Carotid Endarterectomy: A Retrospective Study of 6 Years of Experience. Med Sci Monit. 2018;24:5820-5825. https://doi.org/10.12659/MSM.907762
  14. Paraskevas KI, Robertson V, Saratzis AN, Naylor AR. Editor’s Choice — An Updated Systematic Review and Meta-analysis of Outcomes Following Eversion vs. Conventional Carotid Endarterectomy in Randomised Controlled Trials and Observational Studies. Eur J Vasc Endovasc Surg. 2018;55(4):465-473.  https://doi.org/10.1016/j.ejvs.2017.12.025
  15. Schneider JR, Helenowski IB, Jackson CR, Verta MJ, Zamor KC, Patel NH, Kim S, Hoel AW; Society for Vascular Surgery Vascular Quality Initiative and the Mid-America Vascular Study Group. A comparison of results with eversion versus conventional carotid endarterectomy from the Vascular Quality Initiative and the Mid-America Vascular Study Group. J Vasc Surg. 2015;61(5):1216-1222. https://doi.org/10.1016/j.jvs.2015.01.049
  16. Han Y, Zhang J, Wu X, Jiang H, Gang Q, Shen S, Xin S, Duan Z. A comparative study on medium-long term results of conventional and eversion endarterectomy in management of carotid artery stenosis: a meta-analysis. Zhonghua Yi Xue Za Zhi. 2014;94(7):510-516. 
  17. Antonopoulos CN, Kakisis JD, Sergentanis TN, Liapis CD. Eversion versus conventional carotid endarterectomy: a meta-analysis of randomised and non-randomised studies. Eur J Vasc Endovasc Surg. 2011;42(6):751-765.  https://doi.org/10.1016/j.ejvs.2011.08.012.
  18. Markovic DM, Davidovic LB, Cvetkovic DD, Maksimovic ZV, Markovic DZ, Jadranin DB. Single-center prospective, randomized analysis of conventional and eversion carotid endarterectomy. J Cardiovasc Surg (Torino). 2008;49(5):619-625. 
  19. Littooy FN, Gagovic V, Sandu C, Mansour A, Kang S, Greisler HP. Comparison of standard carotid endarterectomy with Dacron patch angioplasty versus eversion carotid endarterectomy during a 4-year period. Am Surg. 2004;70(2):181-185; discussion 185. 
  20. Cao P, De Rango P, Zannetti S. Eversion vs conventional carotid endarterectomy: a systematic review. Eur J Vasc Endovasc Surg. 2002;23(3):195-201. 
Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Contact us
If you have any questions, complaints or suggestions, please use this feedback form.
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.
Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.