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

Abstract

Introduction and Purposes: Cerebrovascular accident (CVA) is the third leading cause of death worldwide. The most common cause of CVA is obstructive lesions of the proximal internal carotid artery, for which a variety of surgical and nonsurgical therapeutic modalities have been proposed. In the surgical approach (carotid endarterectomy) several different methods have been employed for arterial repair which include primary repair, synthetic or autologous venous patches and eversion endarterectomy. These different methods have led to different outcomes in terms of postoperative arterial diameter and the development of restenosis. The present article aims at studying the changes in internal carotid artery diameter after primary repair in patients undergoing carotid endarterectomy in shohada-e Tajrish medical center, vascular surgery department.