Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Turk J Vasc Surg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 2667-4947 E-ISSN 2667-5080

Turkish Journal of Vascular Surgery 2020 , Vol 29 , Issue 3
Evaluation of carotid bifurcation level and diameters with postoperative outcomes in patients undergoing carotid endarterectomy
Serkan Burç Deşer1, Mustafa Kemal Demirağ1
1Department of Cardiovascular Surgery, Ondokuz Mayıs University, Faculty of Medicine, Samsun, Turkey DOI : 10.9739/tjvs.2020.710 Objectives: This study aims to investigate the association of common carotid artery bifurcation level, neck length, and carotid artery diameters 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 artery bifurcation level was identified according to the cervical vertebrae and compared with the patient"s neck length and internal, external, and common 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 a significant, positive correlation of the female sex and right carotid artery bifurcation level (p=0.042) with both internal carotid artery diameters.

Conclusion: Our study results suggest that a preoperative rigorous examination of CTA scans and planning surgery are essential components to prevent undesirable surgical complications in patients undergoing CEA. Keywords : Anatomic variation, carotid artery, endarterectomy

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