Shortening and reimplantation for tortuous internal carotid arteries

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Presentation transcript:

Shortening and reimplantation for tortuous internal carotid arteries Shirley J. Fearn, FRCS, Charles N. McCollum, MD Journal of Vascular Surgery Volume 27, Issue 5, Pages 936-939 (May 1998) DOI: 10.1016/S0741-5214(98)70275-7 Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 A, Tortuous ICA before endarterectomy and stenotic disease at the bifurcation. B, After endarterectomy and patch angioplasty, ballooning results in kinking of the distal ICA. Journal of Vascular Surgery 1998 27, 936-939DOI: (10.1016/S0741-5214(98)70275-7) Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 A, Location of arteriotomy. B, Arteriotomy en-ables disease within the lumen to be assessed. Segment to be excised is shown (dotted lines). C, Reimplantation of the proximal ICA into the bifurcation straightens the kink. D, Compromise of the CCA lumen is prevented by Dacron patch angioplasty. Journal of Vascular Surgery 1998 27, 936-939DOI: (10.1016/S0741-5214(98)70275-7) Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions