title: Distal cervical carotid artery dissection after carotid endarterectomy: a complication of indwelling shunt.
abstract: The technical factors and surgical methods employed in carotid endarterectomy are controversial. In particular, whether or not to use an indwelling arterial shunt during carotid endarterectomy remains a source of conflict. We describe a rare case in which uncomplicated carotid endarterectomy was followed by distal internal carotid artery dissection and suggest that this devastating complication was due to intimal damage produced by the use of an indwelling arterial shunt.
authors.affiliation: Department of Neurosurgery, Nagayama Hospital, Nippon Medical School, 1-7-1 Nagayama Tama-shi, Tokyo-to 206-8512, Japan.
authors.forename: Tomonori
authors.initials: T
authors.lastname: Tamaki
authors.forename: Node
authors.initials: N
authors.lastname: Yoji
authors.forename: Norihiro
authors.initials: N
authors.lastname: Saito