title: The posterior cervical triangle approach for high carotid artery exposure in carotid endarterectomy.
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.
authors.affiliation: Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan. : sasakit@shinshu-u.ac.jp
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Sasaki
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Nakamura
authors.forename: Shoji
authors.initials: S
authors.lastname: Yomo
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Sekiguchi
authors.forename: Kunihiko
authors.initials: K
authors.lastname: Kodama
authors.forename: Yozo
authors.initials: Y
authors.lastname: Ichikawa
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Hongo
mesh_terms: D000055:Accessory Nerve / Q000503:physiopathology; D000368:Aged; D000369:Aged, 80 and over; D017536:Carotid Artery, Common / Q000503:physiopathology / Q000601:surgery*; D016894:Endarterectomy, Carotid / Q000379:methods*; D005260:Female; D006685:Hoarseness / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009333:Neck / Q000098:blood supply* / Q000601:surgery*; D010243:Paralysis / Q000209:etiology; D011183:Postoperative Complications; D016896:Treatment Outcome