Comparison of Eversion Carotid Endarterectomy and Patch Carotid Endarterectomy: A Retrospective Study of 6 Years of Experience
Guan Z. Chen, Yuan Z. Wu, Peng Y. Diao, Li Ma, Sheng Yan, Xin Y. Chen, Wei C. Liu, Hong Y. Zheng, Bao Liu, Jun Y. Li
Department of Vascular Surgery, Beijing Hospital, National Center of Gerontology, Beijing, China (mainland)
Med Sci Monit 2018; 24: CLR5820-5825
The aim of this study was to compare early and long-term results of eversion carotid endarterectomy (e-CEA) and patch carotid endarterectomy (p-CEA).
MATERIAL AND METHODS: In a retrospective study, we collected data on 441 patients who underwent CEA (e-CEA=211 vs. p-CEA=230) between October 2009 and October 2015 at our institute. Economic costs, postoperative hospital days, use of shunts and antibiotics, early (30-day) complications, long-term restenosis, and mortality rates were compared between groups during 4 to 76 months of follow-up.
RESULTS: Patients in the p-CEA group had a significantly higher percentage of antibiotic use (58.3% vs. 27%, respectively; P0.05). Long-term complication, including stroke or heart attack, recurrent stenosis rate, and mortality rate, showed no difference between the 2 groups (all P>0.05). Kaplan-Meier analysis shows that the recurrent stenosis-free and survival rates were not significantly different between the 2 groups (P=0.867, P=0.177, respectively).
CONCLUSIONS: The adverse event rates of perioperative and long-term follow-up showed no significant difference between the e-CEA and p-CEA groups. Both e-CEA and p-CEA are effective for carotid artery stenosis.
Keywords: carotid stenosis, Cost-Benefit Analysis, Endarterectomy, Carotid