The posterior cervical triangle approach for high carotid artery exposure in carotid endarterectomy

The posterior cervical triangle approach for high carotid artery exposure in carotid endarterectomy

A new approach in carotid endarterectomy (CEA) was developed for high carotid artery lesions. With the authors' use of the posterior cervical triangle approach, 20 patients with a high carotid artery lesion were successfully treated with CEA. Accessory nerve palsy in 1 patient and hoarseness in...

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Veröffentlicht in:Journal of neurosurgery 2012-03, Vol.116 (3), p.680-684
Hauptverfasser: Sasaki, Tetsuo, Nakamura, Yuichi, Yomo, Shoji, Sekiguchi, Yasuyuki, Kodama, Kunihiko, Ichikawa, Yozo, Hongo, Kazuhiro
Format: Artikel
Sprache:eng
Schlagworte:
Accessory Nerve - physiopathology
Aged
Aged, 80 and over
Carotid Artery, Common - physiopathology
Carotid Artery, Common - surgery
Endarterectomy, Carotid - methods
Female
Hoarseness - etiology
Humans
Male
Middle Aged
Neck - blood supply
Neck - surgery
Paralysis - etiology
Postoperative Complications
Treatment Outcome
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Zusammenfassung:A new approach in carotid endarterectomy (CEA) was developed for high carotid artery lesions. With the authors' use of the posterior cervical triangle approach, 20 patients with a high carotid artery lesion were successfully treated with CEA. Accessory nerve palsy in 1 patient and hoarseness in 4 patients were encountered postoperatively as transient complications. There were no permanent procedure-related complications. Although this method has some risks, it is a useful method in CEA for high carotid artery lesions.
ISSN:1933-0693
DOI:10.3171/2011.11.JNS11563