TREC - Evaluation of the Impact of Eversion Technical Features on the Rate of Carotid Restenosis
Restenosis due to myo-intimal hyperplasia remains a concern after carotid endarterectomy. It occurs in around 6% of cases. Several risk factors for restenosis have already been identified, such as smoking, hypertension, female gender, diabetes, dyslipidemia and small carotid diameter. The main objective of this prospective multicenter study was to determine whether the technical characteristics of the eversion technique have an influence on the rate of restenosis at 1 year.

Between September 2021 and November 2022, we followed all patients undergoing carotid endarterectomy by eversion in 8 French hospitals. Demographic data, operative indications and technical characteristics of the endarterectomies performed were collected. These were defined by the circumferential nature of the carotid bulb according to 3 types (TREC A, B or C), and the length and depth of the endarterectomy according to anatomopathological reports. Post-operative complications were collected as much as doppler ultrasonography at three months and 1 year to quantify restenosis.
- EligibilityCriteria: Inclusion Criteria:  Any patient who is having carotid endarterectomy by eversion according to HAS + ESVS recommendations :  Stenosis > 70% on dopplerin the absence of neurological symptoms attributable to the carotid territory affected by the stenotic artery. Stenosis > 50% with neurological symptoms attributable to the carotid territory affected by the stenotic artery.  Exclusion Criteria:  Any carotid revascularization technique other than eversion (carotid endarterectomy with patch, carotid resection-anastomosis or bypass). Cardiac surgery combined with carotid surgery Minor patients Endovascular carotid surgery Opposition to use patient's data - HealthyVolunteers: No - Gender: All - MinimumAge: 18 Years - StdAgeList: Adult, Older Adult - StudyPopulation: Any patient who is having carotid endarterectomy by eversion - SamplingMethod: Non-Probability Sample