Besides conventional endartectomy, some surgeons prefer eversion over conventional endarterectomy. The following Masterclass video and Virtual Vascular Chapter will explain all important steps when performing eversion endarterectomy.
Current guidelines do not provide precise recommendation about the preferential use of eversion CEA or conventional CEA with patch plasty, and mention that the choice of technique should be left to decision of operating surgeon. A recent systematic review concluded that there was not difference between these two techniques in terms of early and late outcomes.
In order to reduce the bleeding events protamine is usually administered after CEA. The following articles and podcast will dive deeper in the recently published article about the benefit of protamine in asymptomatic patients undergoing CEA.