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A Fourth Carotid Operation for Recurrent Carotid Artery Stenosis

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Presentation on theme: "A Fourth Carotid Operation for Recurrent Carotid Artery Stenosis"— Presentation transcript:

1 A Fourth Carotid Operation for Recurrent Carotid Artery Stenosis
B. Modarai, C.L. McGuinness, K.G. Burnand  EJVES Extra  Volume 6, Issue 5, Pages (November 2003) DOI: /S (03)

2 Fig. 1 Angiogram demonstrating a smooth recurrent left sided stenosis originating proximal to the common carotid artery bifurcation and extending into the internal carotid artery. EJVES Extra 2003 6, DOI: ( /S (03) )

3 Fig. 2 Intraoperative picture showing left common carotid artery to the right of the picture. Slings have been placed around the internal and external carotid arteries on the left of the picture. Vessel has been opened to demonstrate narrowing caused by myointimal hyperplasia. EJVES Extra 2003 6, DOI: ( /S (03) )

4 Fig. 3 Histological appearance of myointimal hyperplasia. An abundance of smooth muscle cells is seen in the media of the vessel wall. EJVES Extra 2003 6, DOI: ( /S (03) )


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