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  • Title: Division and reanastomosis of the internal carotid artery for endarterectomy.
    Author: Vanmaele RG, Van Schil PE, De Maeseneer MG, Meese G, Lammens GP, Schoofs EL.
    Journal: Acta Chir Belg; 1990; 90(5):255-61. PubMed ID: 2073013.
    Abstract:
    In an attempt to meet superior hemodynamic criteria without patch angioplasty and to prevent recurrent stenosis, Division-Endarterectomy-Reanastomosis (D.E.R.) was used as a routine technique in a prospective study on 26 consecutive interventions in 25 patients. One patient had a residual technical stenosis of less than 30%. Eight patients died during the one and a half year follow-up from nonstroke-related causes. After on an average 14 months flow parameters were evaluated with Color Duplex Sonography to detect recurrent stenosis. One (5.5%) mild asymptomatic recurrent stenosis of less than 50% was diagnosed. The residual stenosis remained unchanged and all other sites showed normal flow patterns. Division-Endarterectomy-Reanastomosis of the internal carotid artery, as described, meets all requirements for safe carotid restoration.
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