DOI: https://doi.org/10.36347/sasjs.2026.v12i02.008

Pages: 163-167

Background: Eversion carotid endarterectomy (ECEA) is an established alternative to the standard technique. Several technical variants exist (Etheredge, Van Maele, Chevalier), but few studies have compared their immediate results. Objective: To compare the perioperative and early postoperative results of the three ECEA techniques. Methods: Retrospective study including 30 consecutive patients operated on for carotid stenosis >70% (NASCET criteria) between 2013 and 2021. Patients were divided according to the technique used: Etheredge (n=12), Van Maele (n=11), Chevalier (n=7). The primary evaluation criteria were carotid clamping time, intensive care unit (ICU) length of stay, and total length of hospitalization. Secondary criteria included early postoperative complications (stroke, TIA, hematoma, restenosis, mortality). Results: The mean age was 71.9 years with a male predominance (80%). All patients had cardiovascular risk factors, mainly hypertension (37.9%). The mean clamping time was significantly different between groups: 13.8 min (Etheredge), 15.8 min (Van Maele), and 23.4 min (Chevalier) (p<0.05). The mean ICU stay was 26.3h (Etheredge), 29.6h (Van Maele), and 48h (Chevalier). The total length of hospitalization was 3.1, 3.8, and 3.9 days respectively. No postoperative stroke/TIA or death was observed. One case of restenosis and one non-compressive hematoma each occurred in the Etheredge group. Conclusion: In our series, the Etheredge technique was associated with the shortest clamping times and hospitalization durations, followed by Van Maele then Chevalier. All three techniques demonstrated comparable safety with very low perioperative morbidity. The technical choice can be guided by lesion anatomy and surgeon experience, with a potential intraoperative advantage for the Etheredge technique.