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THE JOURNAL OF CARDIOVASCULAR SURGERY
Rivista di Chirurgia Cardiaca, Vascolare e Toracica
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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ORIGINAL ARTICLES VASCULAR SECTION
The Journal of Cardiovascular Surgery 2009 April;50(2):183-7
Carotid endarterectomy: results of the Italian Vascular Registry
Palombo D., Lucertini G., Mambrini S., Spinella G., Pane B
Unit of Vascular and Endovascular Surgery, San Martino University Hospital, Genoa, Italy
Aim. The aim of this study was to evaluate the results of carotid endarterectomy (CEA) carried out in centers dedicated to vascular surgery.
Methods. The study was supported by the Italian Registry for Vascular Activity, which collected the data of 89 centers of vascular surgery (almost all of the existing centers in Italy) during 2007. Data were collected for 5 962 CEAs. A total of 5 809 patients (153 were operated bilaterally in two staged procedures), 3 990 (68.7%) males and 1 819 (31.3%) females, whose ages ranged from 33 to 100 years (mean 72.7±7.78) underwent the surgery procedure. Several surgical techniques were used: i.e., standard CEA with direct suture (1 477 cases, 24.8%), standard CEA with patch (2 242 cases, 37.6%), and eversion technique (2 243 cases, 37.6%).
Results. Combined perioperative mortality and stroke rate were also evaluated (1.1% [stroke 0.9%, mortality 0.2%]).
Conclusion. These results are very good and are comparable to what has been reported in the literature during the last few years. This observation provides further proof of the effectiveness of CEA in the management of extracranial carotid disease. Moreover, these results have to be taken into account when evaluating any new therapeutic options, such as carotid stenting, before accepting them as valid alternatives.