Evidence map›Paper›PMID 38902703›Full record

ArticleJournal of cardiothoracic surgery2024

Comparative on the effectiveness and safety of different carotid endarterectomy techniques: a single-center Retrospective Study.

Sensen Wu, Hui Wang, Julong Guo, Fan Zhang, Dikang Pan, Yachan Ning, Yongquan Gu, Lianrui Guo

Registry-linked trialAbstract readComparative Study
In one paragraph

Article in Journal of cardiothoracic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07288164 (Comparison of Operative and Early Postoperative Outcomes Between Eversion and Conventional Techniques in Carotid Endarterectomy), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07288164 completednot on this mapstarted 2025, after this paper: background citation

Comparison of Operative and Early Postoperative Outcomes Between Eversion and Conventional Techniques in Carotid Endarterectomy

Typeobservational_patient_registrySponsorKastamonu UniversityRan2025 to 2025Enrolled129ConditionsAtherosclerosis Occlusive Disease, Stroke (CVA) or Transient Ischemic Attack, Endarterectomy, CarotidArmsCarotid endarterectomy, conventional, Carotid endarterectomy, eversion
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Modeling Hemodynamic Effects of the Closure Procedure of Carotid Artery Endarterectomy.International journal for numerical methods in biomedical engineering · 2025
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Sensen Wu *Department of Vascular Surgery, Xuanwu Hospital, Capital Medical University, Beijing, China.
Hui Wang *Department of Vascular Surgery, Xuanwu Hospital, Capital Medical University, Beijing, China.
Julong GuoDepartment of Vascular Surgery, Xuanwu Hospital, Capital Medical University, Beijing, China.
Fan ZhangDepartment of Vascular Surgery, Xuanwu Hospital, Capital Medical University, Beijing, China.
Dikang PanDepartment of Vascular Surgery, Xuanwu Hospital, Capital Medical University, Beijing, China.
Yachan NingDepartment of Vascular Surgery, Xuanwu Hospital, Capital Medical University, Beijing, China.
Yongquan GuDepartment of Vascular Surgery, Xuanwu Hospital, Capital Medical University, Beijing, China. Gu15901598209@aliyun.com.
Lianrui GuoDepartment of Vascular Surgery, Xuanwu Hospital, Capital Medical University, Beijing, China. lianruiguo@sina.com.

Funding

National Key Research and Development Program of China (2022YFC3602400, 2022YFC3602404)
6 · The paper itself

Abstract

backgroundCarotid endarterectomy (CEA) is a surgical procedure that can reduce the risk of stroke in patients with carotid artery stenosis. However, controversy still exists regarding the optimal surgical technique for CEA.

objectiveTo compare the safety and effectiveness of different techniques.

methodsData on baseline characteristics as well as perioperative and postoperative complications from patients who underwent CEA at the Department of Vascular Surgery, Xuanwu Hospital, Capital Medical University, were retrospectively collected and analyzed.

resultsA total of 262 CEA patients included in study, with a total of 265 CEA operations. The mean age of 69.95 ± 7.29 (range, 44-89) years. 65 (24.5%) patients underwent cCEA, 94 (35.5%) underwent pCEA, and 106 (40.0%) underwent eCEA. The use of shunt (1.9%) and the mean operation time were lower in eCEA group (P < 0.05). eCEA was also associated with a lower incidence of postoperative hypotension, whereas pCEA was associated with a lower incidence of postoperative hypertension (P < 0.05). There was no significant difference in clinical baseline characteristics, occurrence of perioperative complications, and survival whether restenosis-free, asymptomatic or overall.

conclusionsThis study found that all three surgical methods are equally safe for the treatment of carotid artery stenosis and are effective in preventing stroke.

Indexed as

Carotid StenosisEndarterectomy, CarotidPostoperative ComplicationsAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedRetrospective StudiesStrokeTreatment OutcomeCarotid artery stenosisCarotid endarterectomyStroke

Identifiers

PMID38902703
PMCPMC11188523

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.