Background
The role of carotid endarterectomy for the treatment of carotid bifurcation atherosclerosis is now well established. The operative procedures for carotid stenosis, the eversion techniques require an oblique circumferential incision of the internal carotid artery (ICA) at the carotid bulb and transection of the carotid sinus nerve fibers. In this study, the incidence of postoperative hypertension (HTN) after eversion carotid endarterectomy (E-CEA) was compared with conventional carotid endarterectomy (C-CEA) in the short- and mid-term follow-up periods.
Methods
Baseline blood pressures were recorded in all patients 1-2 weeks before the CEA. Systolic blood pressure values and diastolic blood pressure values were <= 140 mmHg and <= 90 mm Hg respectively. The patients with a history of hypertension, antihypertensive medication, uncontrolled hypertension in the preoperative period, severe bilateral atherosclerotic lesions and CEA, and the patients that suffer from mortality and morbidity during the follow-up period were excluded from the study. Postoperative follow-up of patients with hypertension in the first, sixth, and twelfth months were recorded by outpatient visits, phone calls, and home visits. A total of 164 patients were included in the study ( E-CEA=76, C-CEA=88).
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