Evaluation of carotid bifurcation level and diameters with postoperative outcomes in patients undergoing carotid endarterectomy
Yıl: 2020 Cilt: 29 Sayı: 3 Sayfa Aralığı: 170 - 176 Metin Dili: İngilizce DOI: 10.9739/tjvs.2020.710 İndeks Tarihi: 20-10-2021
Evaluation of carotid bifurcation level and diameters with postoperative outcomes in patients undergoing carotid endarterectomy
Öz: Objectives: This study aims to investigate the association of common carotid artery bifurcation level, neck length, and carotid arterydiameters with postoperative outcomes in patients undergoing carotid endarterectomy (CEA).Patients and methods: We retrospectively analyzed the computed tomography angiography (CTA) scans of a total of 107 patients (80 males,27 females; mean age 69.0±9.6 years; range, 48 to 92 years) who underwent CEA between January 2012 and April 2018. The carotid arterybifurcation level was identified according to the cervical vertebrae and compared with the patient’s neck length and internal, external, andcommon carotid arteries.Results: The mean level of the right carotid artery bifurcation was 3.7±0.54 in females and 4.03±0.74 in males (p=0.019). We found asignificant, positive correlation of the female sex and right carotid artery bifurcation level (p=0.042) with both internal carotid arterydiameters.Conclusion: Our study results suggest that a preoperative rigorous examination of CTA scans and planning surgery are essential componentsto prevent undesirable surgical complications in patients undergoing CEA.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- 1. Schulz UG, Rothwell PM. Sex differences in carotid bifurcation anatomy and the distribution of atherosclerotic plaque. Stroke 2001;32:1525-31.
- 2. Frangos SG, Gahtan V, Sumpio B. Localization of atherosclerosis: role of hemodynamics. Arch Surg 1999;134:1142‐9.
- 3. Barnett HJM, Taylor DW, Haynes RB, Sackett DL, Peerless SJ. Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis. N Engl J Med 1991;325:445-53.
- 4. Zümre O, Salbacak A, Ciçekcibaşi AE, Tuncer I, Seker M. Investigation of the bifurcation level of the common carotid artery and variations of the branches of the external carotid artery in human fetuses. Ann Anat 2005;187:361-9.
- 5. Gluncic V, Petanjek Z, Marusic A, Gluncic I. High bifurcation of common carotid artery, anomalous origin of ascending pharyngeal artery and anomalous branching pattern of external carotid artery. Surg Radiol Anat 2001;23:123-5.
- 6. Poynter CWM. Congenital anomalies of the arteries and veins of the human body with bibliography. The University Studies of the University of Nebraska, Lincoln, 1994;22:1-106.
- 7. Sehirli US, Yalin A, Tulay CM, Cakmak YO, Gürdal E. The diameters of common carotid artery and its branches in newborns. Surg Radiol Anat 2005;27:292-6.
- 8. Drake R, Vogl A, Mitchell A, editors. Gray’s anatomy for students. 2nd ed. Philadelphia: Churchill Livingstone; 2010. p. 958-9.
- 9. Lucev N, Bobinac D, Maric I, Drescik I. Variations of the great arteries in the carotid triangle. Otolaryngol Head Neck Surg 2000;122:590-1.
- 10. Kurkcuoglu A, Aytekin C, Oktem H, Pelin C. Morphological variation of carotid artery bifurcation level in digital angiography. Folia Morphol (Warsz) 2015;74:206-11.
- 11. Toyota A, Shima T, Nishida M, Yamane K, Okada Y, Csiba L, et al. Angiographical evaluation of extracranial carotid artery: comparison between Japanese and Hungarian. No To Shinkei 1997;49:633-7.
- 12. Klosek SK, Rungruang T. Topography of carotid bifurcation: considerations for neck examination. Surg Radiol Anat 2008;30:383-7.
- 13. Osborn AG, editor. Diagnostic Cerebral Angiography. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 1999.
- 14. Rutherford RB, editor. Rutherford Vascular Surgery. 5th ed. Philadelphia: W.B. Saunders Company; 2000.
- 15. Gray H. The Carotid system of arteries. In: Williams PL, Warwick R, editors. Gray’s Anatomy. 36th ed. 36. Edinburgh: Churchill Livingstone; 1980. p. 676-92.
- 16. Dilenge D, Heon M. The internal carotid artery. In: Newton TH, Potts DG, editors. Radiology of the Skull and Brain. Vol 2. Saint Louis: CV Mosby; 1974. p. 1202-45.
- 17. Kishve PS, Kishve SP, Joshi M, Aarif SM, Kalakoti P. An unusual branching pattern of common and external carotid artery in a human cadaver: a case report. Australas Med J 2011;4:180-2.
- 18. Mcaffe DK, Anson BJ, McDonald JJ. Variation in the point of bifurcation of the common carotid artery. Q Bull Northwest Univ Med Sch. 1953;27:226-9.
- 19. Lo A, Oehley M, Bartlett A, Adams D, Blyth P, Al-Ali S. Anatomical variations of the common carotid artery bifurcation. ANZ J Surg 2006;76:970-2.
- 20. Bernard K. The pathology of death. In: Sauko P, editor. Knight’s Forensic Pathology. 3rd ed. London: CRC Press Taylor and Francis Group; 2004. p. 52-97.
- 21. Hayashi N, Hori E, Ohtani Y, Ohtani O, Kuwayama N, Endo S. Surgical anatomy of the cervical carotid artery for carotid endarterectomy. Neurol Med Chir (Tokyo) 2005;45:25-9.
- 22. Bergman RA, Thompson SA, AWW AK, Saadeh FA, editors. Compendium of human anatomic variations. Baltimore: Urben and Schwarzenberg; 1998.
- 23. Ito H, Mataga I, Kageyama I, Kobayashi K. Clinical anatomy in the neck region--the position of external and internal carotid arteries may be reversed. Okajimas Folia Anat Jpn 2006;82:157-67.
- 24. Koch S, Nelson D, Rundek T, Mandrekar J, Rabinstein A. Race-ethnic variation in carotid bifurcation geometry. J Stroke Cerebrovasc Dis 2009;18:349-53.
- 25. Markert MS, Della-Morte D, Cabral D, Roberts EL Jr, Gardener H, Dong C, et al. Ethnic differences in carotid artery diameter and stiffness: the Northern Manhattan Study. Atherosclerosis 2011;219:827-32.
- 26. Tsantilas P, Kuehnl A, Brenner E, Eckstein HH. Anatomic criteria determining high-risk carotid surgery patients. J Cardiovasc Surg (Torino) 2017;58:152-60.
| APA | Deser S, Demirag M (2020). Evaluation of carotid bifurcation level and diameters with postoperative outcomes in patients undergoing carotid endarterectomy. , 170 - 176. 10.9739/tjvs.2020.710 |
| Chicago | Deser Serkan Burc,Demirag Mustafa Kemal Evaluation of carotid bifurcation level and diameters with postoperative outcomes in patients undergoing carotid endarterectomy. (2020): 170 - 176. 10.9739/tjvs.2020.710 |
| MLA | Deser Serkan Burc,Demirag Mustafa Kemal Evaluation of carotid bifurcation level and diameters with postoperative outcomes in patients undergoing carotid endarterectomy. , 2020, ss.170 - 176. 10.9739/tjvs.2020.710 |
| AMA | Deser S,Demirag M Evaluation of carotid bifurcation level and diameters with postoperative outcomes in patients undergoing carotid endarterectomy. . 2020; 170 - 176. 10.9739/tjvs.2020.710 |
| Vancouver | Deser S,Demirag M Evaluation of carotid bifurcation level and diameters with postoperative outcomes in patients undergoing carotid endarterectomy. . 2020; 170 - 176. 10.9739/tjvs.2020.710 |
| IEEE | Deser S,Demirag M "Evaluation of carotid bifurcation level and diameters with postoperative outcomes in patients undergoing carotid endarterectomy." , ss.170 - 176, 2020. 10.9739/tjvs.2020.710 |
| ISNAD | Deser, Serkan Burc - Demirag, Mustafa Kemal. "Evaluation of carotid bifurcation level and diameters with postoperative outcomes in patients undergoing carotid endarterectomy". (2020), 170-176. https://doi.org/10.9739/tjvs.2020.710 |
| APA | Deser S, Demirag M (2020). Evaluation of carotid bifurcation level and diameters with postoperative outcomes in patients undergoing carotid endarterectomy. Turkish journal of vascular surgery, 29(3), 170 - 176. 10.9739/tjvs.2020.710 |
| Chicago | Deser Serkan Burc,Demirag Mustafa Kemal Evaluation of carotid bifurcation level and diameters with postoperative outcomes in patients undergoing carotid endarterectomy. Turkish journal of vascular surgery 29, no.3 (2020): 170 - 176. 10.9739/tjvs.2020.710 |
| MLA | Deser Serkan Burc,Demirag Mustafa Kemal Evaluation of carotid bifurcation level and diameters with postoperative outcomes in patients undergoing carotid endarterectomy. Turkish journal of vascular surgery, vol.29, no.3, 2020, ss.170 - 176. 10.9739/tjvs.2020.710 |
| AMA | Deser S,Demirag M Evaluation of carotid bifurcation level and diameters with postoperative outcomes in patients undergoing carotid endarterectomy. Turkish journal of vascular surgery. 2020; 29(3): 170 - 176. 10.9739/tjvs.2020.710 |
| Vancouver | Deser S,Demirag M Evaluation of carotid bifurcation level and diameters with postoperative outcomes in patients undergoing carotid endarterectomy. Turkish journal of vascular surgery. 2020; 29(3): 170 - 176. 10.9739/tjvs.2020.710 |
| IEEE | Deser S,Demirag M "Evaluation of carotid bifurcation level and diameters with postoperative outcomes in patients undergoing carotid endarterectomy." Turkish journal of vascular surgery, 29, ss.170 - 176, 2020. 10.9739/tjvs.2020.710 |
| ISNAD | Deser, Serkan Burc - Demirag, Mustafa Kemal. "Evaluation of carotid bifurcation level and diameters with postoperative outcomes in patients undergoing carotid endarterectomy". Turkish journal of vascular surgery 29/3 (2020), 170-176. https://doi.org/10.9739/tjvs.2020.710 |
