Presentation is loading. Please wait.

Presentation is loading. Please wait.

Geometric dimension changes with carotid endarterectomy reconstruction

Published byDominic Wheeler Modified over 5 years ago

Similar presentations

Presentation on theme: "Geometric dimension changes with carotid endarterectomy reconstruction"— Presentation transcript:

1 Geometric dimension changes with carotid endarterectomy reconstruction
Joseph P. Archie, PhD, MD  Journal of Vascular Surgery  Volume 25, Issue 3, Pages (March 1997) DOI: /S (97) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

2 Fig. 1 Carotid artery schematic illustrating the six linear dimensions measured before carotid endarectomy (CEA; left) and after patch reconstruction (right). The major and minor diameters (A and B) of the elliptical common carotid bulb were measured as shown on the far right and the maximum diameter of curvature, A2/B, calculated. Journal of Vascular Surgery  , DOI: ( /S (97) ) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

3 Fig. 2 Internal carotid (IC) bulb diameter before (dark bars) and after (light bars) CEA for all 562 arteries (A), 302 male arteries (B), and 260 female arteries (C) by type of reconstruction. Bars are mean ± 2 SE. There are 389 vein patches, 50 Dacron 1 (DAC-1) patches (cut from a larger piece), 96 Dacron 2 (DAC-2) patches (precut 8 mm), 11 polytetrafluoroethylene (PTFE) patches, and 16 primary closures. By unpaired t testing all vein (p < 0.001) and DAC-1 (p < 0.01) dimensions increased significantly with CEA, as did DAC-2 in women (p < 0.01). The other two synthetic patches did not produce a statistically significant increase. The decrease in diameter in the primary closure group was not statistically significant. By paired t testing the internal carotid bulb diameter increased in all patch reconstructions and decreased in primary closure (p < for all except in DAC-2 which was p < 0.05). Journal of Vascular Surgery  , DOI: ( /S (97) ) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

4 Fig. 2 Internal carotid (IC) bulb diameter before (dark bars) and after (light bars) CEA for all 562 arteries (A), 302 male arteries (B), and 260 female arteries (C) by type of reconstruction. Bars are mean ± 2 SE. There are 389 vein patches, 50 Dacron 1 (DAC-1) patches (cut from a larger piece), 96 Dacron 2 (DAC-2) patches (precut 8 mm), 11 polytetrafluoroethylene (PTFE) patches, and 16 primary closures. By unpaired t testing all vein (p < 0.001) and DAC-1 (p < 0.01) dimensions increased significantly with CEA, as did DAC-2 in women (p < 0.01). The other two synthetic patches did not produce a statistically significant increase. The decrease in diameter in the primary closure group was not statistically significant. By paired t testing the internal carotid bulb diameter increased in all patch reconstructions and decreased in primary closure (p < for all except in DAC-2 which was p < 0.05). Journal of Vascular Surgery  , DOI: ( /S (97) ) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

5 Fig. 2 Internal carotid (IC) bulb diameter before (dark bars) and after (light bars) CEA for all 562 arteries (A), 302 male arteries (B), and 260 female arteries (C) by type of reconstruction. Bars are mean ± 2 SE. There are 389 vein patches, 50 Dacron 1 (DAC-1) patches (cut from a larger piece), 96 Dacron 2 (DAC-2) patches (precut 8 mm), 11 polytetrafluoroethylene (PTFE) patches, and 16 primary closures. By unpaired t testing all vein (p < 0.001) and DAC-1 (p < 0.01) dimensions increased significantly with CEA, as did DAC-2 in women (p < 0.01). The other two synthetic patches did not produce a statistically significant increase. The decrease in diameter in the primary closure group was not statistically significant. By paired t testing the internal carotid bulb diameter increased in all patch reconstructions and decreased in primary closure (p < for all except in DAC-2 which was p < 0.05). Journal of Vascular Surgery  , DOI: ( /S (97) ) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

6 Fig. 3 IC before (dark bars) and after (light bars) CEA for all 562 arteries (A), 302 male arteries (B), and 260 female arteries (C) by type of reconstruction. Bars are mean ± 2 SE. There are 389 vein patches, 50 DAC-1 patches (cut from larger piece), 96 DAC-2 patches (precut 8 mm), 11 PTFE patches, and 16 primary closures. By both paired and unpaired t testing, all patch reconstructions increased this dimension (p < 0.001). The changes with primary closure were not significant by either method of testing. Journal of Vascular Surgery  , DOI: ( /S (97) ) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

7 Fig. 3 IC before (dark bars) and after (light bars) CEA for all 562 arteries (A), 302 male arteries (B), and 260 female arteries (C) by type of reconstruction. Bars are mean ± 2 SE. There are 389 vein patches, 50 DAC-1 patches (cut from larger piece), 96 DAC-2 patches (precut 8 mm), 11 PTFE patches, and 16 primary closures. By both paired and unpaired t testing, all patch reconstructions increased this dimension (p < 0.001). The changes with primary closure were not significant by either method of testing. Journal of Vascular Surgery  , DOI: ( /S (97) ) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

8 Fig. 3 IC before (dark bars) and after (light bars) CEA for all 562 arteries (A), 302 male arteries (B), and 260 female arteries (C) by type of reconstruction. Bars are mean ± 2 SE. There are 389 vein patches, 50 DAC-1 patches (cut from larger piece), 96 DAC-2 patches (precut 8 mm), 11 PTFE patches, and 16 primary closures. By both paired and unpaired t testing, all patch reconstructions increased this dimension (p < 0.001). The changes with primary closure were not significant by either method of testing. Journal of Vascular Surgery  , DOI: ( /S (97) ) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

9 Fig. 4 Common carotid (CC) bulb major diameter before (dark bars) and after (light bars) CEA for all 562 arteries (A), 302 male arteries (B), and 260 female arteries (C) by type of reconstruction. Bars are mean ± 2 SE. There are 389 vein patches, 50 DAC-1 patches (cut from larger piece), 96 DAC-2 patches (precut 8 mm), 11 PTFE patches, and 16 primary closures. By unpaired t testing, only vein patching increased this dimension (p < 0.01). By paired t testing, all patch material increased this dimension (p < 0.01, except DAC-2, p < 0.05). There were no statistically changes in the primary closure group by either method of testing. Journal of Vascular Surgery  , DOI: ( /S (97) ) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

10 Fig. 4 Common carotid (CC) bulb major diameter before (dark bars) and after (light bars) CEA for all 562 arteries (A), 302 male arteries (B), and 260 female arteries (C) by type of reconstruction. Bars are mean ± 2 SE. There are 389 vein patches, 50 DAC-1 patches (cut from larger piece), 96 DAC-2 patches (precut 8 mm), 11 PTFE patches, and 16 primary closures. By unpaired t testing, only vein patching increased this dimension (p < 0.01). By paired t testing, all patch material increased this dimension (p < 0.01, except DAC-2, p < 0.05). There were no statistically changes in the primary closure group by either method of testing. Journal of Vascular Surgery  , DOI: ( /S (97) ) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

11 Fig. 4 Common carotid (CC) bulb major diameter before (dark bars) and after (light bars) CEA for all 562 arteries (A), 302 male arteries (B), and 260 female arteries (C) by type of reconstruction. Bars are mean ± 2 SE. There are 389 vein patches, 50 DAC-1 patches (cut from larger piece), 96 DAC-2 patches (precut 8 mm), 11 PTFE patches, and 16 primary closures. By unpaired t testing, only vein patching increased this dimension (p < 0.01). By paired t testing, all patch material increased this dimension (p < 0.01, except DAC-2, p < 0.05). There were no statistically changes in the primary closure group by either method of testing. Journal of Vascular Surgery  , DOI: ( /S (97) ) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

12 Fig. 5 CC bulb maximum diameter of curvature before (dark bars) and after (light bars) CEA diameter for all 562 arteries (A), 302 male arteries (B), and 260 female arteries (C) by type of reconstruction. Bars are mean ± 2 SE. There are 389 vein patches, 50 DAC-1 patches (cut from larger piece), 96 DAC-2 patches (precut 8 mm), 11 PTFE patches, and 16 primary closures. There were no statistically significant changes by either paired or unpaired t testing in any group or subgroup. Journal of Vascular Surgery  , DOI: ( /S (97) ) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

13 Fig. 5 CC bulb maximum diameter of curvature before (dark bars) and after (light bars) CEA diameter for all 562 arteries (A), 302 male arteries (B), and 260 female arteries (C) by type of reconstruction. Bars are mean ± 2 SE. There are 389 vein patches, 50 DAC-1 patches (cut from larger piece), 96 DAC-2 patches (precut 8 mm), 11 PTFE patches, and 16 primary closures. There were no statistically significant changes by either paired or unpaired t testing in any group or subgroup. Journal of Vascular Surgery  , DOI: ( /S (97) ) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

14 Fig. 5 CC bulb maximum diameter of curvature before (dark bars) and after (light bars) CEA diameter for all 562 arteries (A), 302 male arteries (B), and 260 female arteries (C) by type of reconstruction. Bars are mean ± 2 SE. There are 389 vein patches, 50 DAC-1 patches (cut from larger piece), 96 DAC-2 patches (precut 8 mm), 11 PTFE patches, and 16 primary closures. There were no statistically significant changes by either paired or unpaired t testing in any group or subgroup. Journal of Vascular Surgery  , DOI: ( /S (97) ) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

15 Fig. 6 CC bulb eccentricity before (dark bars) and after (light bars) CEA for all 562 arteries (A), 302 male arteries (B), and 260 female arteries (C) by type of reconstruction. Bars are mean ± 2 SE. There are 389 vein patches, 50 DAC-1 patches (cut from larger piece), 96 DAC-2 patches (precut 8 mm), 11 PTFE patches, and 16 primary closures. By both paired and unpaired t testing all patch groups and subgroups decreased this dimension (p < 0.01). There was no change produced by primary closure (p < 0.05) by either method. Journal of Vascular Surgery  , DOI: ( /S (97) ) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

16 Fig. 6 CC bulb eccentricity before (dark bars) and after (light bars) CEA for all 562 arteries (A), 302 male arteries (B), and 260 female arteries (C) by type of reconstruction. Bars are mean ± 2 SE. There are 389 vein patches, 50 DAC-1 patches (cut from larger piece), 96 DAC-2 patches (precut 8 mm), 11 PTFE patches, and 16 primary closures. By both paired and unpaired t testing all patch groups and subgroups decreased this dimension (p < 0.01). There was no change produced by primary closure (p < 0.05) by either method. Journal of Vascular Surgery  , DOI: ( /S (97) ) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

17 Fig. 6 CC bulb eccentricity before (dark bars) and after (light bars) CEA for all 562 arteries (A), 302 male arteries (B), and 260 female arteries (C) by type of reconstruction. Bars are mean ± 2 SE. There are 389 vein patches, 50 DAC-1 patches (cut from larger piece), 96 DAC-2 patches (precut 8 mm), 11 PTFE patches, and 16 primary closures. By both paired and unpaired t testing all patch groups and subgroups decreased this dimension (p < 0.01). There was no change produced by primary closure (p < 0.05) by either method. Journal of Vascular Surgery  , DOI: ( /S (97) ) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

18 Fig. 7 CC bulb circumference before (dark bars) and after (light bars) CEA for all 562 arteries (A), 302 male arteries (B), and 260 female arteries (C) by type of reconstruction. Bars are mean ± 2 SE. There are 389 vein patches, 50 DAC-1 patches (cut from larger piece), 96 DAC-2 patches (precut 8 mm), 11 PTFE patches, and 16 primary closures. Patching increased this dimension (p < 0.01, unpaired t test; p < 0.001, unpaired t test), except for PTFE in women (p < 0.05). There was no statistically significant change produced by primary closure by either method of testing. Journal of Vascular Surgery  , DOI: ( /S (97) ) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

19 Fig. 7 CC bulb circumference before (dark bars) and after (light bars) CEA for all 562 arteries (A), 302 male arteries (B), and 260 female arteries (C) by type of reconstruction. Bars are mean ± 2 SE. There are 389 vein patches, 50 DAC-1 patches (cut from larger piece), 96 DAC-2 patches (precut 8 mm), 11 PTFE patches, and 16 primary closures. Patching increased this dimension (p < 0.01, unpaired t test; p < 0.001, unpaired t test), except for PTFE in women (p < 0.05). There was no statistically significant change produced by primary closure by either method of testing. Journal of Vascular Surgery  , DOI: ( /S (97) ) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

20 Fig. 7 CC bulb circumference before (dark bars) and after (light bars) CEA for all 562 arteries (A), 302 male arteries (B), and 260 female arteries (C) by type of reconstruction. Bars are mean ± 2 SE. There are 389 vein patches, 50 DAC-1 patches (cut from larger piece), 96 DAC-2 patches (precut 8 mm), 11 PTFE patches, and 16 primary closures. Patching increased this dimension (p < 0.01, unpaired t test; p < 0.001, unpaired t test), except for PTFE in women (p < 0.05). There was no statistically significant change produced by primary closure by either method of testing. Journal of Vascular Surgery  , DOI: ( /S (97) ) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Download ppt "Geometric dimension changes with carotid endarterectomy reconstruction"

Similar presentations

Timing of carotid endarterectomy after acute stroke Joseph J. Plotrowski, MD, Victor M. Bernhard, MD, Jeffrey R. Rubin, MD, Kenneth E. McIntyre, MD, James.

Timing of carotid endarterectomy after acute stroke Joseph J. Plotrowski, MD, Victor M. Bernhard, MD, Jeffrey R. Rubin, MD, Kenneth E. McIntyre, MD, James.
Endothelial cell seeding reduces thrombogenicity of Dacron grafts in humans Per Örtenwall, MD, PhD *, Hans Wadenvik, MD, PhD **, Jack Kutti, MD, PhD **,

Endothelial cell seeding reduces thrombogenicity of Dacron grafts in humans Per Örtenwall, MD, PhD *, Hans Wadenvik, MD, PhD **, Jack Kutti, MD, PhD **,
The role of arteriovenous shunts in the pathogenesis of varicose veins Howard C. Baron, M.D., Sebastiano Cassaro, M.D. Journal of Vascular Surgery Volume.

The role of arteriovenous shunts in the pathogenesis of varicose veins Howard C. Baron, M.D., Sebastiano Cassaro, M.D. Journal of Vascular Surgery Volume.
The effect of inguinal lymphatic manipulation on regional lymph flow patterns Jeffrey R. Rubin, MD, Lisa B. Eberlin, MD Journal of Vascular Surgery Volume.

The effect of inguinal lymphatic manipulation on regional lymph flow patterns Jeffrey R. Rubin, MD, Lisa B. Eberlin, MD Journal of Vascular Surgery Volume.
A review of 100 consecutive reconstructions of the distal vertebral artery for embolic and hemodynamic disease  Ramon Berguer, MD, PhD, Mark D. Morasch,

A review of 100 consecutive reconstructions of the distal vertebral artery for embolic and hemodynamic disease  Ramon Berguer, MD, PhD, Mark D. Morasch,
Elastin, collagen, and some mechanical aspects of arterial aneurysms

Elastin, collagen, and some mechanical aspects of arterial aneurysms
Axillary-to-carotid artery bypass grafting for symptomatic severe common carotid artery occlusive disease  Joseph P. Archie, PhD, MD  Journal of Vascular.

Axillary-to-carotid artery bypass grafting for symptomatic severe common carotid artery occlusive disease  Joseph P. Archie, PhD, MD  Journal of Vascular.
Intermediate-term outcome of carotid endarterectomy with bovine pericardial patch closure compared with Dacron patch and primary closure  Karen J. Ho,

Intermediate-term outcome of carotid endarterectomy with bovine pericardial patch closure compared with Dacron patch and primary closure  Karen J. Ho,
Ultrasound measurement of the luminal diameter of the abdominal aorta and iliac arteries in patients without vascular disease  Ole Martin Pedersen, MD,

Ultrasound measurement of the luminal diameter of the abdominal aorta and iliac arteries in patients without vascular disease  Ole Martin Pedersen, MD,
Timing of carotid artery endarterectomy after stroke

Timing of carotid artery endarterectomy after stroke
Fetal internal iliac artery: Case report and embryologic review

Fetal internal iliac artery: Case report and embryologic review
Creation and closure of temporary arteriovenous fistulas for venous reconstruction or thrombectomy: Description of technique  Richard J. Sanders, M.D.,

Creation and closure of temporary arteriovenous fistulas for venous reconstruction or thrombectomy: Description of technique  Richard J. Sanders, M.D.,
Mycotic axillary artery aneurysm

Mycotic axillary artery aneurysm
A new valvulotome for in situ bypass grafts

A new valvulotome for in situ bypass grafts
Factors predicting the diameter of the popliteal artery in healthy humans  Thomas Sandgren, MD, Björn Sonesson, MD, PhD, Åsa Rydén Ahlgren, MD, Toste Länne,

Factors predicting the diameter of the popliteal artery in healthy humans  Thomas Sandgren, MD, Björn Sonesson, MD, PhD, Åsa Rydén Ahlgren, MD, Toste Länne,
Malcolm O. Perry, MD, Richard Kempczinski, MD 

Malcolm O. Perry, MD, Richard Kempczinski, MD 
Daniel S. Rush, MD, William O. Holloway, MD, James E

Daniel S. Rush, MD, William O. Holloway, MD, James E
Protecting the brain and spinal cord

Protecting the brain and spinal cord
Carotid patch angioplasty: Immediate and long-term results

Carotid patch angioplasty: Immediate and long-term results
Extracranial carotid aneurysms: Report of six cases and review of the literature  Thomas A. Painter, M.D., Norman R. Hertzer, M.D., Edwin G. Beven, M.D.,

Extracranial carotid aneurysms: Report of six cases and review of the literature  Thomas A. Painter, M.D., Norman R. Hertzer, M.D., Edwin G. Beven, M.D.,

Similar presentations

Ads by Google