Annals of surgery
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Randomized Controlled Trial Comparative Study Clinical Trial
A prospective randomized study on bilateral carotid endarterectomy: patching versus eversion.
To compare the clinical outcome and restenosis incidence of patients who underwent carotid endarterectomy with patch closure (CEAP) on one side and carotid eversion endarterectomy (CEE) on the other. ⋯ CEE is less likely to cause perioperative neurologic complications and restenoses than CEAP. The significantly higher rate of unilateral recurrence suggests that local factors play a more important role than systemic factors in the occurrence of restenosis.