Τίτλος:
Disobliteration of an occluded common carotid artery with patent bifurcation via antegrade ring stripping
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
There is a lack of guidelines concerning common carotid artery (CCA) occlusive disease in the presence of a patent internal carotid artery (ICA). A novel surgical technique that disobliterates an occluded CCA was successfully performed in three cases. The detailed surgical steps are presented herein. After proximal division of the CCA behind the sternoclavicular junction, the occluded CCA was endarterectomized via antegrade ring stripping. After removal of the atheromatous core, the CCA was everted, and the wall remnants were cleaned under direct vision. Simultaneous eversion endarterectomy of the ICA was performed when necessary. After reversion of the CCA, it was transposed and anastomosed to the ipsilateral subclavian artery distal to the orifice of the vertebral artery. This novel technique can be used in selected cases by experienced surgeons. Copyright © 2020, The Korean Society for Vascular Surgery
Συγγραφείς:
Kotsis, T.
Christoforou, P.
Περιοδικό:
Vascular Specialist International
Εκδότης:
Korean Society for Vascular Surgery
Λέξεις-κλειδιά:
acetylsalicylic acid; heparin, adult; aged; antegrade ring stripping; artery anastomosis; artery graft; artery perfusion; artery transplantation; Article; asymptomatic disease; carotid artery bifurcation; carotid artery obstruction; carotid artery surgery; carotid endarterectomy; case report; clinical article; collateral circulation; common carotid artery; computed tomographic angiography; digital subtraction angiography; dizziness; echography; end to side anastomosis; endotracheal anesthesia; female; general anesthesia; human; inferior thyroid artery; male; middle aged; single drug dose; subclavian artery; thyroid artery; vascular patency; vertebral artery
DOI:
10.5758/vsi.2020.36.1.38
