Comments on Eversion Technique of Carotid Endarterectomy
Authors:
V. Přibáň; M. Bombic; J. Fiedler
Authors‘ workplace:
Neurochirurgické oddělení, Nemocnice České Budějovice a. s, primář MUDr. V. Chlouba
Published in:
Rozhl. Chir., 2005, roč. 84, č. 9, s. 448-451.
Category:
Monothematic special - Original
Overview
The authors describe their own modification of carotid endarterectomy by eversion technique which they use in the case of combined stenosis and kinking of internal carotid artery. Complete division of internal carotid artery from the common carotid artery at the bulb is performed in an oblique fashion, following by excision of redundant wall. Added longitudinal incision of common carotid artery enables perfect removal of the atherosclerotic plaque. Proper posterior wall anastomosis of common and internal carotid artery in the bulb is carried out by one-way-up technique. This is an alternative to parachute technique and gives perfect view of operating field, thus decreasing the risk of technical mistake. Eversion technique of carotid endarterectomy represents an ideal operative technique in the case of carotid stenosis combined with kinking.
Key words:
carotid artery stenosis – kinking – microendarterectomy – eversion technique
Labels
Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2005 Issue 9
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