Long-term restenosis rate of eversion endarterectomy on the internal carotid artery

A. Szabo, E. Brazda, E. Dosa, A. Apor, Z. Szabolcs, L. Entz

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Objectives. The eversion endarterectomy of the internal carotid artery was introduced in Hungary in 1991. The aim of this study was to define the long-term restenosis rate of this procedure. Patients and Methods. Between 1991 and 1993, 171 operations, on 151 patients, were performed by single surgeon: with long-term follow up of 109 patients, which included annual physical and ultrasound examinations. Restenosis rate and plaque morphology were defined. Survival and patency rate were analysed by life-tables. Results. The combined perioperative stroke morbidity and mortality rate was 0.8%. The 5-year patient survival rate was 85%, the recurrent stenosis free rate was 88% at 5 years. Only 9% of the patients had carotid restenosis of more than 70% during this period. Ultrasound plaque morphology showed calcification in one case. Two patients had re-operations, with plaque histology showed myointimal hyperplasia in each case. Conclusions. Our results for restenosis are compare favourably with the 2-34% restenosis rate reported in the literature. Ultrasound and histological findings suggest that atherosclerosis does not play a significant role in the development of restenosis after the eversion carotid endarterectomy.

Original languageEnglish
Pages (from-to)537-539
Number of pages3
JournalEuropean Journal of Vascular and Endovascular Surgery
Volume27
Issue number5
DOIs
Publication statusPublished - May 2004

Fingerprint

Endarterectomy
Internal Carotid Artery
Survival Rate
Life Tables
Hungary
Carotid Endarterectomy
Physical Examination
Hyperplasia
Atherosclerosis
Histology
Pathologic Constriction
Stroke
Morbidity
Mortality

Keywords

  • Eversion endarterectomy
  • Internal carotid artery
  • Recurrent stenosis

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging
  • Surgery

Cite this

Long-term restenosis rate of eversion endarterectomy on the internal carotid artery. / Szabo, A.; Brazda, E.; Dosa, E.; Apor, A.; Szabolcs, Z.; Entz, L.

In: European Journal of Vascular and Endovascular Surgery, Vol. 27, No. 5, 05.2004, p. 537-539.

Research output: Contribution to journalArticle

Szabo, A. ; Brazda, E. ; Dosa, E. ; Apor, A. ; Szabolcs, Z. ; Entz, L. / Long-term restenosis rate of eversion endarterectomy on the internal carotid artery. In: European Journal of Vascular and Endovascular Surgery. 2004 ; Vol. 27, No. 5. pp. 537-539.
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