Lege Artis Medicinae

[A new operative technique in the internal carotid artery surgery]

ENTZ László1, MOGÁN István1, JÁRÁNYI Zsuzsa1, PAPP Sándor1, NEMES Atilla1

NOVEMBER 30, 1992

Lege Artis Medicinae - 1992;2(11)

[The primary author spent one year at the Vascular Department of Nurenberg Town Hospital where an opportunity presented it self to get acquainted with a new surgical method. The eversion endarterectomy of the carotid artery has been developed by the Nurenberg team in 1985. Since that time more then 1500 operations of this type was performed. Using the experiences gained in Nurenberg, the author introduced this new method at the Budapest Cardiovascular Surgery Clinic as well, and from January 1, 1991 until June 30, 1992, 213 operations were performed. Concerning short term results the new method is acceptable compared to the traditional methods. Owing to the method being a new one, long term results can only be read about from 2 authors. After a five year postoperative period restenosis of 1,3 percent was found after 212 operations by Kieny and after 105 operations, a 1.9 percent was reported by Kasprzak. These results seem to be encouraging if they are compared to the 10–25% restenosis rate of traditional operations. ]

AFFILIATIONS

  1. Semmelweis Orvostudományi Egyetem Ér- és Szívsebészeti Klinika, Budapest

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