Anteposition of the internal carotid artery for surgical treatment of kinking.
BACKGROUND
Kinking of the extracranial portion of the internal carotid artery (ICA) requires surgical reconstruction when it causes neurological symptoms. We suggest a simple surgical reconstruction without arteriotomy.


METHODS
Anteposition of the ICA ventral to the digastric muscle has been performed in three patients. Kinks in the ICAs, proved by angiography, were thought to be responsible for clinical signs and symptoms.


RESULTS
The operations resulted in improvement, both clinically and radiologically.


CONCLUSIONS
The complications of arteriotomy can be avoided using the technique of ICA antepositioning described in this paper.
Székely
G
G
Department of Neurosurgery, University of Debrecen Medical and Health Science Center, Debrecen, Hungary.
Csécsei
G I
GI
D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging* / Q000601:surgery*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging* / Q000601:surgery*; D002533:Cerebral Angiography; D005260:Female; D006801:Humans; D008875:Middle Aged; D019635:Neurosurgical Procedures; D016896:Treatment Outcome