Besides conventional endarterectomy, some surgeons prefer eversion over conventional endarterectomy.
The following Masterclass video and Virtual Vascular Chapter explain the key steps of eversion endarterectomy.


Carotid bifurcation after eversion CEA


Current guidelines do not provide a precise recommendation regarding the preferential use of eversion CEA or conventional CEA with patch plasty. The choice of technique is left to the operating surgeon. A recent systematic review concluded that there is no significant difference between these two techniques in terms of early and late outcomes.


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To reduce bleeding events, protamine is usually administered after CEA.
The following articles and podcast explore the recently published evidence regarding the benefit of protamine in asymptomatic patients undergoing CEA.


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