Selective carotid endarterectomy and the advantages of conventional and eversion endarterectomy

Abstract

Aim: Selective carotid endarterectomy (SCE) is described as the extraction of atheromatous plaque through an arteriotomy made starting from the common carotid artery and extending to the external carotid artery. The aim of the present study was to report the initial experience of SCE technique at our department. Patients and Methods: Collected data on all SCE were retrospectively analysed. The study period was from May 2010 to the end of April 2013. A total of 30 patients underwent SCE. The patients were operated on under general anaesthesia. Results: The mean age of the patients was 70.7±6.0years. The risk factors were coronary artery disease in nine patients, hypertension in 18 patients, smoking in nine patients, hypercholesterolemia in 17 patients, diabetes in 14 patients, peripheral arterial occlusive disease in three patients and a family history of coronary artery disease in six patients. One patient had simultaneous coronary artery bypass surgery for severe left main coronary artery disease. There were no hospital deaths. Two patients had cervical haematoma that regressed without intervention. The mean carotid artery clamping time was 13.5±3.4min (range: 8-25min), and the mean postoperative hospitalization time was 3.2±1.2days. Conclusion: SCE is a safe and simple procedure that eliminates patching. © 2014 College of Surgeons of Hong Kong.