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

Sasaki, Tetsuo; Nakamura, Yuichi; Yomo, Shoji; Sekiguchi, Yasuyuki; Kodama, Kunihiko; Ichikawa, Yozo; Hongo, Kazuhiro · J Neurosurg · 2012

case_series · Level IV

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Abstract

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.

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