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Anatomical Considerations on Surgical Anatomy of the Carotid Bifurcation


Affiliations
1 Department of Anatomy, Faculty of Medicine, National and Kapodistrian University of Athens, 17 Mikras Asias Street, Goudi, 15771 Athens, Greece
2 3rd Department of Surgery, Attikon University Hospital, National and Kapodistrian University of Athens, 12243 Athens, Greece
 

Surgical anatomy of carotid bifurcation is of unique importance for numerousmedical specialties. Despite extensive research, many aspects such as precise height of carotid bifurcation, micrometric values of carotid arteries and their branches as their diameter, length, and degree of tortuosity, and variations of proximal external carotid artery branches are undetermined. Furthermore carotid bifurcation is involved in many pathologic processes, atheromatous disease being the commonest. Carotid atheromatous disease is a major predisposing factor for disabling and possibly fatal strokes with geometry of carotid bifurcation playing an important role in its natural history. Consequently detailed knowledge of various anatomic parameters is of paramount importance not only for understanding of the disease but also for design of surgical treatment, especially selection between carotid endarterectomy and carotid stenting. Carotid bifurcation paragangliomas constitute unique tumors with diagnostic accuracy, treatment design, and success of operative intervention dependent on precise knowledge of anatomy. Considering those, it becomes clear that selection and application of proper surgical therapy should consider anatomical details. Further research might ameliorate available treatment options or even lead to innovative ones.
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  • Anatomical Considerations on Surgical Anatomy of the Carotid Bifurcation

Abstract Views: 63  |  PDF Views: 4

Authors

Adamantios Michalinos
Department of Anatomy, Faculty of Medicine, National and Kapodistrian University of Athens, 17 Mikras Asias Street, Goudi, 15771 Athens, Greece
Markos Chatzimarkos
Department of Anatomy, Faculty of Medicine, National and Kapodistrian University of Athens, 17 Mikras Asias Street, Goudi, 15771 Athens, Greece
Nikolaos Arkadopoulos
3rd Department of Surgery, Attikon University Hospital, National and Kapodistrian University of Athens, 12243 Athens, Greece
Michail Safioleas
3rd Department of Surgery, Attikon University Hospital, National and Kapodistrian University of Athens, 12243 Athens, Greece
Theodore Troupis
Department of Anatomy, Faculty of Medicine, National and Kapodistrian University of Athens, 17 Mikras Asias Street, Goudi, 15771 Athens, Greece

Abstract


Surgical anatomy of carotid bifurcation is of unique importance for numerousmedical specialties. Despite extensive research, many aspects such as precise height of carotid bifurcation, micrometric values of carotid arteries and their branches as their diameter, length, and degree of tortuosity, and variations of proximal external carotid artery branches are undetermined. Furthermore carotid bifurcation is involved in many pathologic processes, atheromatous disease being the commonest. Carotid atheromatous disease is a major predisposing factor for disabling and possibly fatal strokes with geometry of carotid bifurcation playing an important role in its natural history. Consequently detailed knowledge of various anatomic parameters is of paramount importance not only for understanding of the disease but also for design of surgical treatment, especially selection between carotid endarterectomy and carotid stenting. Carotid bifurcation paragangliomas constitute unique tumors with diagnostic accuracy, treatment design, and success of operative intervention dependent on precise knowledge of anatomy. Considering those, it becomes clear that selection and application of proper surgical therapy should consider anatomical details. Further research might ameliorate available treatment options or even lead to innovative ones.