Comparative Assessment of the Results of Different Techniques of Carotid Bifurcation Reconstruction

Abstract

INTRODUCTION: Nowadays, to restore the patency of the carotid artery bifurcation in atherosclerotic stenoses, three main methods of reconstruction are used, namely, classic carotid endarterectomy (cCEAE), prosthetic repair of the internal carotid artery, and eversion carotid endarterectomy (eCEAE). The study conducted a comparative analysis of the immediate and long-term results of using these methods in the case of stenosis of the carotid artery bifurcation. CONCLUSION: As regards the immediate results, the analysis of literature does not permit allow making an unambiguous conclusion about the evident advantages of a particular method of intervention. Thus, several authors obtained better results with the use of eCEAE, whereas others did not find any significant differences between eCEAE and cCEAE, if it was not a question about using a straight seam, and this can be referred to both meta-analyses and original studies. Regarding the long-term results, practically all literary sources indicate more optimal results with the use of the eversion technique. The results of the analysis imply the preference for eCEAE if the character of the lesion of the carotid bifurcation and anatomical interrelations in the surgical wound allow it.