Determining Changes in Diameter of Internal Carotid Artery Before and After Primary Repair in Carotid Endarterctomy.

lranian journal of Clinical Infectious Diseases

Sh Behjoo²  H Ghaheri¹  M Mozaffar³  H Kazemzadeh¹  R Radpey²  M Zeinalzadeh² 

[1] Associate Professor, Section of Vascular and Trauma Surgery, Department of Surgery, Shohada-e-Tajrish Medical Center, Shahid Beheshti Medical University of Medical Sciences, Tehran, Iran. clinical fellow, Section of Vascular and Trauma Surgery, Department of Surgery, Shohada-e-Tajrish Medical Center, Shahid Beheshti Medical University of Medical Sciences, Tehran, Iran.;Resident, Section of Vascular and Trauma Surgery, Department of Surgery, Shohada-e-Tajrish Medical Center, Shahid Beheshti Medical University of Medical Sciences, Tehran, Iran.;Associate Professor, Section of Vascular and Trauma Surgery, Department of Surgery, Shohada-e-Tajrish Medical Center, Shahid Beheshti Medical University of Medical Sciences, Tehran, Iran.

关键词: Stroke;    Endarterectomy;    Carotid Diameter.;   

DOI  :  10.17795/semj20673

学科分类：基础医学

来源: Shiraz University of Medical Sciences

【 摘 要 】

IntroductionandPurposes:Cerebrovascularaccident(CVA)isthethirdleadingcauseofdeathworldwide.ThemostcommoncauseofCVAisobstructivelesionsoftheproximalinternalcarotidartery,forwhichavarietyofsurgicalandnonsurgicaltherapeuticmodalitieshavebeenproposed.Inthesurgicalapproach(carotidendarterectomy)severaldifferentmethodshavebeenemployedforarterialrepairwhichincludeprimaryrepair,syntheticorautologousvenouspatchesandeversionendarterectomy.Thesedifferentmethodshaveledtodifferentoutcomesintermsofpostoperativearterialdiameterandthedevelopmentofrestenosis.Thepresentarticleaimsatstudyingthechangesininternalcarotidarterydiameterafterprimaryrepairinpatientsundergoingcarotidendarterectomyinshohada-eTajrishmedicalcenter,vascularsurgerydepartment.MaterialsandMethods:Adescriptivecross-sectionalclinicalstudywascarriedouton42operationsofcarotidendarterectomyperformedon36patients(Sixpatientswereoperatedonbilaterally).Arterialrepairwasuniformlyperformedbyprimaryrepair.Thediameterofthearterywasexactlymeasuredbyaspecialcaliperbeforeandaftertheoperation.Follow-upassessmentwasperformedbycolorDopplerultrasound6monthsaftersurgery.Anyvariationinthearterialdiameterordevelopmentofrestenosiswasrecordedinindividualquestionnairesandresultswerestatisticallyanalyzed.Results:In42primaryrepairsofinternalcarotidarterywehadanincreaseinpostoperativearterialdiameterin40.5%ofcaseswithameanincrementof3.17percent.In14.2percenttherewasnochangeandin45.3percentthearterialdiameterdecreasedwithameanof2.8percent.StatisticallythelatterfigurewasnotconsideredsignificantbasedonaT-teststudy.Follow-upcolorDopplerultrasoundperformed6monthsaftertheoperationrevealedastenosisupto25%in22.7%ofpatientswhichwasnotstatisticallysignificant.Conclusion:Thisstudyshowsthatprimaryrepairofinternalcarotidarteryaftercarotidendarterectomydoesnotresultinnarrowingorrecurrentstenosisandthereforecouldbeconsideredasasafeandsatisfactorymethodofarterialrepair.However,theauthorsrecommendfurthercontrolledtrialstocomparethispracticewiththeothermethodsofarterialrepair.

【 授权许可】

Unknown