Common Carotid Artery Imbrication as an Adjunct to Carotid Endarterectomy to Prevent Postoperative Carotid Kinking
| Autor: | Albert G. Hakaim, Todd B. Berland, Juergen Falkensammer, W. Andrew Oldenburg |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry medicine.medical_treatment Retrospective cohort study Arteriotomy General Medicine Carotid endarterectomy medicine.disease Surgery Restenosis medicine.artery Angiography cardiovascular system medicine cardiovascular diseases Common carotid artery Radiology Internal carotid artery business Endarterectomy |
| Zdroj: | The American Surgeon. 73:276-278 |
| ISSN: | 1555-9823 0003-1348 |
| DOI: | 10.1177/000313480707300316 |
| Popis: | Mobilization of a tortuous carotid artery during endarterectomy may produce redundancy of the carotid artery, and kinking. We reviewed our experience with common carotid artery (CCA) imbrication as a technique to shorten the common and internal carotid artery postendarterectomy and to avoid carotid kinking. A retrospective chart review of 163 patients who underwent carotid endarterectomy by the same surgeon between August 1998 and February 2006 was performed. All patients underwent conventional endarterectomy via a longitudinal arteriotomy with an indwelling shunt and patch angioplasty. Patients undergoing concomitant carotid artery imbrication were identified. Twelve patients who underwent carotid imbrication were identified. The mean age was 74.9 ± 8.8 years. Nine patients underwent imbrication of the CCA, and in three cases, the internal carotid artery was plicated. Follow-up duplex ultrasound examinations were available for 10 individuals and mean follow-up time was 10.7 months (range, 1–58 months). There were no cases of peri- or postoperative cerebral accidents and there was no case of restenosis. CCA imbrication as an adjunct to carotid endarterectomy is a feasible technique in preventing postoperative carotid kinking. |
| Databáze: | OpenAIRE |
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