Ten-year long-term outcomes of conventional and eversion carotid endarterectomy. Multicenter study

Autor: Yu. V. Belov, A. N. Kazantsev, R. A. Vinogradov, A. V. Korotkikh, V. V. Matusevich, S. V. Artyukhov, E. Yu. Kachesov, D. V. Shmatov, A. B. Zakeryaev, P. V. Sukhoruchkin, A. A. Erofeev, A. R. Shabaev, M. O. Dzhanelidze, B. M. Taits, D. B. Taits, G. Sh. Bagdavadze, N. E. Zarkua, A. S. Fedorov, I. M. Radzhabov, V. A. Lutsenko, R. V. Sultanov, F. R. Alizada, A. D. Abdullaev, A. V. Povtoreyko, T. I. Kapran, D. A. Popov, R. Yu. Leader, E. F. Vaiman, A. I. Solobuev, E. O. Meleshin, E. R. Ginzburg, V. P. Derbilova, E. R. Vinogradova, A. E. Gofman, E. O. Alekseeva, K. L. Zakharova, L. V. Roshkovskaya, Yu. P. Linets
Jazyk: ruština
Rok vydání: 2022
Předmět:
Zdroj: Российский кардиологический журнал, Vol 26, Iss 12 (2022)
Druh dokumentu: article
ISSN: 1560-4071
2618-7620
DOI: 10.15829/1560-4071-2021-4742
Popis: Aim. To analyze the immediate and long-term outcomes of eversion and conventional carotid endarterectomy (CE) with patch angioplasty.Material and methods. For the period from February 1, 2006 to September 1, 2021, the present retrospective multicenter open comparative study included 25106 patients who underwent CE. Depending on the technique of operation, the following groups were formed: group 1 (n=18362) — eversion CE; group 2 (n=6744) — conventional CE with patch angioplasty. The long-term follow-up period was 124,7±53,8 months.Results. In the hospital postoperative period, the groups were comparable in incidence of all complications: lethal outcome (group 1: 0,19%, n=36; group 2: 0,17%, n=12; p=0,89; odds ratio (OR) =1,1; 95% confidence interval (CI) =0,57- 2,11); myocardial infarction (MI) (group 1: 0,15%, n=28; group 2: 0,13%, n=9; p=0,87; OR=1,14; 95% CI=0,53-2,42); stroke (group 1: 0,33%, n=62; group 2: 0,4%, n=27; p=0,53; OR=0,84; 95% CI=0,53-1,32); bleeding with hematoma formation (group 1: 0,39%, n=73; group 2: 0,41%, n=28; p=0,93; OR=0,95; 95% CI=0,61-1,48); internal carotid artery (ICA) thrombosis (group 1: 0,05%, n=11; group 2: 0,07%, n=5, p=0,9; OR=0,8; 95% CI=0,28-2,32). In the long-term follow-up, the groups were comparable only in MI incidence: group 1: 0,56%, n=103; group 2: 0,66%, n=45; p=0,37; OR=0,84; 95% CI=0,59-1,19. All other complications were more frequent after conventional CE with patch angioplasty: all-cause death (group 1: 2,7%, n=492; group 2: 9,1%, n=616; p60%, requiring re-revascularization (group 1: 1,6%, n=296; group 2: 12,6%, n=851; p
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