endarterectomy with systematic anastomosis resection

Carotid endarterectomy remains the standard revascularization technique for the prevention of recurrent ischemic stroke resulting from severe carotid stenosis. A lesion
limited to the carotid bulb or to the first centimeters of the internal carotid artery is usually managed with endarterectomy by longitudinal arteriotomy or by eversion or sometimes bypass surgery. Multidisciplinary assessment is recommended to achieve consensus regarding the indication and optimal treatment of patients with carotid
stenosis. We present, in this retrospective study, another
technique: endarterectomy with systematic anastomosis resection under locoregional or general anesthesia. We report the experience of the vascular and thoracic surgery
department of Meaux, which has adopted and developed this technique for more than 10 years. The objective of this study is to describe the technical aspects and to propose this technique as an alternative for carotid endarterectomy.