• Haris Vukas, Samra Kadić-Vukas, Dragan Piljić, Haris Vranić, Anes Jogunčić, Edina Đozić, and Juš Kšela.
• From the Department of Vascular Surgery (Vukas H), from the Department of Neurology (Kadić-Vukas), Cantonal Hospital Zenica; from the of Surgery and Department of Neurology (Vukas H, Varnić, Đozić) Sarajevo School of Science of Technology Medical School; from the Clinic of Cardiovascular Surgery (Piljić), University Clinical Center Tuzla; from the Department of Vascular Surgery (Varnić), General Hospital Sarajevo Abdulah Nakaš; from the Department of Epidemiology (Jogunčić), Public Health Institute of Canton Sarajevo; from the Clinic of Neurology (Đozić), Clinical Center University Sarajevo, Bosnia and Herzegovina; and from the Clinic of Cardiovascular Surgery (Kšela), University Clinical Center Ljubljana, Medical, Faculty Ljubljana, Slovenia.
• Saudi Med J. 2024 Jul 1; 45 (7): 685693685-693.

ObjectivesTo compare carotid endarterectomy patch angioplasty (p-CEA) with eversion carotid endarterectomy (e-CEA) and associated risks of early cardio-cerebrovascular complications.MethodsThe study was a prospective randomized single-blind trial, monocentric, clinically applicable, descriptive analytical and comparative. From June 2021 to June 2023, 62 consecutive patients with symptomatic and asymptomatic stenosis of the internal carotid artery, admitted to our department and randomized into two groups: carotid endarterectomy with patch angioplasty and eversion carotid endarterectomy. Follow-up for 30 days after surgery.ResultsDuring surgery e-CEA, 70% patients had an arrhythmia, and 24 hours after 66.7%, seven days after 46.7% and month after 13.3%. During surgery p-CEA, 33.3% patients had an arrhythmia, 24 hours later 33.3%, 7 days after 13.3% and 30 days after 13.3% patients. Statistically significant difference observed during surgery (Fishers p=0.004). One day after the surgery rate of patients with arrhythmia that were treated e-CEA has decreased, but it was still higher than after p-CEA (Fishers p=0.010).ConclusionThe frequency and categorization of postoperative cardiac arrhythmias after eversion carotid endarterectomy, the clinical implications of various postoperative heart rhythm disturbances and their long-term effects on patients need to be further investigate through sufficiently powered randomized controlled studies.Copyright: © Saudi Medical Journal.

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