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. 2000 Oct 23;2000(4):CD001921. doi: 10.1002/14651858.CD001921

Ballotta 1999.

Methods Monocentric, single surgeon 
 Randomisation: list of randomly generated binary digits 
 No sample size calculation 
 Patient assignment by sequentially numbered, sealed, opaque envelopes 
 Recruitment period: 5 years 
 Mean duration of follow up 34 months (range 1.69 months) 
 No patients were lost to follow up
Participants 310 patients (31% female) 
 Mean age 70 years (41 to 89 years) 
 336 CEA 
 26 bilateral CEA 
 Asymptomatic = 46%: 45% in eversion group and 48% in control group
Interventions Two groups. 
 Control: PTFE patch CEA 
 Treatment: 169 arteries by eversion CEA and 167 arteries by CEAP (carotid endarterectomy with PTFE patch) 
 158 patients by eversion and 152 patients by patch
Outcomes Perioperative mortality 
 Perioperative stroke 
 Recurrent carotid stenosis/occlusion 
 Local complications: neck hematoma, cranial nerve injuries 
 Perioperative myocardial infarction
Notes Exclusions: repeated CEA; CEA with combined CABG, or patients with associated supraaortic trunk lesions requiring contemporary surgery 
 Patients randomised twice = 26 (bilateral procedures)
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Low risk A ‐ Adequate