Modified Method of Eversion Carotid Endarterectomy in Patients With Extensive Atherosclerotic Disease of Carotid Bifurcation
Modified Method of Eversion Carotid Endarterectomy in Patients With Extensive Atherosclerotic Disease of Carotid Bifurcation
A prospective comparative randomized single-centre non-inferiority trial. The purpose of this
 study is to compares of modified method of eversion carotid endarterectomy with standard
 eversion carotid endarterectomy for 3,6 and 12 months days after operation in patients with
 extensive atherosclerotic disease of carotid bifurcation
Introduction. Performing eversion endarterectomy some difficulties arise. Firstly, it
 requires a great deal of coherence between the work of the surgeon and the first assistant,
 as well as a great experience of the latter. Secondly, in some cases, there are difficulties
 in visualizing the distal margin of the intima: in the absence of a rigid skeleton, the soft
 unchanged artery walls after removal of the plaque subside, making it difficult to visualize
 possible fragments of the intima. Thirdly, the cost of the error is high: with a random
 de-version, repeated eversion turns out to be impossible. It should be noted that the use of
 an eversion technique becomes difficult to implement, and sometimes impossible, with extended
 stenosis, since a very high allocation of the ICA is required, which increases the
 invasiveness of the operation and the difficulty of access. With prolonged stenosis, the
 carotid endarterectomy remains the option of choice. The modification used eversion carotid
 endarterectomy combines the advantages of both methods, and also eliminates the limitations
 of the carotid endarterectomy and eversion carotid endarterectomy.

 The aim of study. The purpose of this study is to compares of modified method of eversion
 carotid endarterectomy with standard eversion carotid endarterectomy for 3,6 and 12 months
 days after operation in patients with extensive atherosclerotic disease of carotid
 bifurcation
Inclusion Criteria:

 -  patients with stenosis of ICA 70-99% (ultrasound - NASCET and CT angiography)

 -  patients with a extensive lesion of the ICA (plaque < 2 cm) by ultrasound - NASCET and
 CT angiography

 Exclusion Criteria:

 -  patients with a extensive lesion of the ICA (plaque < 2 cm),

 -  patients with a contralateral occlusion of the ICA

 -  patients with stroke in ischemic type in the acute period.