A simple method for combined carotid endarterectomy and correction of internal carotid artery kinking Eric S. Chino, M.D. Journal of Vascular Surgery

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Presentation transcript:

A simple method for combined carotid endarterectomy and correction of internal carotid artery kinking Eric S. Chino, M.D. Journal of Vascular Surgery Volume 6, Issue 2, Pages 197-199 (August 1987) DOI: 10.1067/mva.1987.avs0060197 Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 A, Placement of the arteriotomy. Note that the incision is carried onto the internal carotid artery more medially than usual (see text for details). B, Line of transection of the internal carotid artery (see text for details). C, Corners have been trimmed from the proximal arterial segment resulting in relatively straight arteriotomy edges. The distal segment is opened along the dotted line. Arrow indicates points that will be joined to form the “heel” of the anastomosis (see text for details). D, Completed anastomosis. Note that the inferior portion of the arteriotomy is closed primarily. Journal of Vascular Surgery 1987 6, 197-199DOI: (10.1067/mva.1987.avs0060197) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 Preoperative arteriogram of symptomatic patient with stenosis and internal carotid redundancy. Journal of Vascular Surgery 1987 6, 197-199DOI: (10.1067/mva.1987.avs0060197) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 Intraoperative arteriogram after endarterectomy and patch closure. Luminal compromise was due to infolding of redundant back wall. Journal of Vascular Surgery 1987 6, 197-199DOI: (10.1067/mva.1987.avs0060197) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 4 Completion arteriogram after division and shortening of the internal carotid artery. Journal of Vascular Surgery 1987 6, 197-199DOI: (10.1067/mva.1987.avs0060197) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions