In-hospital results of different types of glomus-sparing carotid endarterectomy: two-center experience

Kazantsev AN, Zakeryaev AB, Zharova AS, et al. In-hospital results of different types of glomus-sparing carotid endarterectomy: two-center experience. Russian Journal of Cardiology and Cardiovascular Surgery. 2023;16(6):626‑633. (In Russ.)
https://doi.org/10.17116/kardio202316061626

Подписка 2026 Кардиология и сердечно-сосудистая хирургия (Russian Journal of Cardiology and Cardiovascular Surgery)

Использование инфографики авторами научных работ

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Abstract:

OBJECTIVE

To compare the immediate results of new glomus-sparing carotid endarterectomies (CEE), developed at the St. Petersburg Alexander Hospital and Ochapovsky Regional Clinical Hospital No. 1, and eversion CEE.

MATERIAL AND METHODS

A retrospective open-label study included 792 patients with ICA stenosis between January 2017 and May 2020. Glomus-sparing CEE developed at the St. Petersburg City Alexander Hospital was used in 176 patients (group 1), glomus-sparing CEE developed at the Ochapovsky Regional Clinical Hospital No. 1 — in 188 patients (group 2). The 3^rd group included 428 patients who underwent eversion CEE. Postoperative analysis included mortality, ischemic stroke, myocardial infarction (MI), ICA thrombosis/restenosis, bleeding BARC grade ≥3b, combined endpoint (death + ischemic stroke + MI).

RESULTS

All cardiovascular complications occurred after eversion CEE: MI — 0.5% (n=2), ischemic stroke — 0.5% (n=2), bleeding BARC grade ≥3b — 0.7% (n=3), combined endpoint — 0.9% (n=4). There were no cases of early ICA restenosis in the entire sample. All intraoperative occlusions of external carotid artery (ECA) occurred after eversion CEE (1.6%, n=7).

CONCLUSION

Glomus-sparing CEEs is safe and effective options without postoperative complications, ICA restenosis and ECA occlusion. Thus, these procedures may be preferable in patients with ICA stenosis.

Keywords:

classic carotid endarterectomy

eversion carotid endarterectomy

patch

glomus-sparing carotid endarterectomy

Authors:

Kazantsev A.N.

Korolev Regional Clinical Hospital

SPIN RSCI: 8396-1845
Scopus AuthorID: 57196122083
ORCID: 0000-0002-1115-609X

Zakeryaev A.B.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1

ORCID: 0000-0002-4859-1888

Zharova A.S.

North-Western State Medical University I.I. Mechnikov

ORCID: 0000-0001-9474-4972

Matusevich V.V.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1

ORCID: 0000-0001-9461-2726

Chernykh K.P.

St. Petersburg City Alexandrovskaya Hospital

ORCID: 0000-0002-5089-5549

Bagdavadze G.Sh.

St. Petersburg City Alexander Hospital

ORCID: 0000-0001-5970-6209

Artyukhov S.V.

St. Petersburg City Alexander Hospital

ORCID: 0000-0001-8249-3790

Kravchuk V.N.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1

ORCID: 0000-0002-6337-104X

Received:

02.06.2022

Accepted:

09.08.2022

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References:

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