Home > Journals > International Angiology > Past Issues > International Angiology 2019 August;38(4) > International Angiology 2019 August;38(4):320-5

CURRENT ISSUE
 

JOURNAL TOOLS

eTOC
To subscribe PROMO
Submit an article
Recommend to your librarian
 

ARTICLE TOOLS

Publication history
Reprints
Cite this article as

 

ORIGINAL ARTICLE  CAROTID DISEASE Freefree

International Angiology 2019 August;38(4):320-5

DOI: 10.23736/S0392-9590.19.04095-1

Copyright © 2019 EDIZIONI MINERVA MEDICA

language: English

Short non-patch arteriotomy in carotid endarterectomy

Marco LEOPARDI , Angelica DANTE, Giorgio SBENAGLIA, Annamaria MAGGIPINTO, Marco VENTURA

Department of Vascular Surgery, San Salvatore Hospital, University of L’Aquila, L’Aquila, Italy



BACKGROUND: Several techniques of carotid endarterectomy have been described and currently used in clinical practice. We describe and report the midterm results of short non-patch arteriotomy technique.
METHODS: We analyzed patients treated at our Department for carotid artery stenosis. Main outcomes were mortality, stroke, restenosis and local complications. The technique consists in a short longitudinal arteriotomy from common carotid artery to internal (ICA), followed by thromboendarterectomy in carotid bulb with a blunt spatula, cutting the more proximal edge of the plaque. A semi-eversion is then performed in the ICA to fully remove carotid plaque.
RESULTS: In the period between years 2011-2016 we performed 476 carotid endarterectomies of which 436 with short non-patch arteriotomy. Mean clamping time was 15.5±5.7 minutes. In-hospital complications were: three cases of stroke (0.7%), all with complete recovery, four transient cerebral ischemia (0.9%), 14 cervical hematomas (3.2%), and four cranial nerve injuries (0.9%), which was in all cases completely regressed. At two years, we report six cases of carotid restenosis (1.4%), all treated with carotid stenting.
CONCLUSIONS: Short non-patch carotid endarterectomy technique resulted in a low mid-term rates of stroke, restenosis, and cranial nerve injuries compared to other surgical series in the literature.


KEY WORDS: Carotid endarterectomy; Vascular surgical procedures; Carotid artery diseases

top of page