The Surgical Approach for the High Cervical Internal Carotid Artery Stenosis in Carotid Endarterectomy

In this paper, we describe in detail our surgical approach for the precise exposure of the distal cervical segment of the internal carotid artery (ICA) in carotid endarterectomy (CEA). We also evaluate the validity of our surgical procedure by retrospectively reviewing 12 consecutive cases with high cervical ICA stenosis. With precise head and neck position and careful dissection based on the anatomical features under microscope observation, CEA was accomplished safely without invasive techniques.