Coppi G, Vecchiati E, Nora A, Tusini N, Moratto R
Divisione di Chirurgia Vascolare Ospedale Civile Sant'Agostino di Modena.
Ann Ital Chir. 1997 Jul-Aug;68(4):463-71.
After a brief introduction on the history of the surgical treatment of carotid stenosis the authors illustrate both the classical endarterectomy and the eversion endarterectomy. The constant search for a technique which could be of easy execution and also reduce the risk of complication (especially late ones, such as restenosis), brought the authors to adopt the eversion endarterectomy with reimplantation of internal carotid artery. From 1990 through 1995, 1034 carotid endarterectomies were performed, of which 611 with eversion technique and 423 with others techniques. The average follow-up was 38 months. The eversion endarterectomy group had lower neurological morbidity and mortality rates, both early and late. Even more important, they had a lower incidence rate of hemodynamically relevant restenosis (0.37% in the eversion endarterectomy group vs 1.97% in the other group).
在对颈动脉狭窄外科治疗的历史作了简要介绍后，作者阐述了经典的内膜切除术和外翻内膜切除术。不断寻求一种易于实施且能降低并发症风险（尤其是晚期并发症，如再狭窄）的技术，促使作者采用了颈动脉外翻内膜切除术并重新植入颈内动脉。1990年至1995年期间，共进行了1034例颈动脉内膜切除术，其中611例采用外翻技术，423例采用其他技术。平均随访时间为38个月。外翻内膜切除术组的早期和晚期神经功能发病率和死亡率均较低。更重要的是，他们血流动力学相关再狭窄的发生率较低（外翻内膜切除术组为0.37%，另一组为1.97%）。
