title: [Carotid endarterectomy for high cervical internal carotid artery stenosis: study of 22 consecutive patients].
abstract: In general, carotid endarterectomy(CEA)for high cervical internal carotid artery(ICA)stenosis is considered a difficult technique. Among 132 patients who underwent CEA between May, 1996 and December, 2012 in our institute, 22 showed high cervical ICA stenosis. A wide operation field was obtained by wide range dissection of shallow anatomical structures without special techniques and the first cervical vertebra was palpable in all patients. All patients underwent CEA and adverse events occurred in 4 patients. We describe the technique and pitfalls of CEA for high cervical ICA stenosis from the anatomical viewpoint.
authors.affiliation: Department of Neurosurgery, Abashiri Neurosurgical Rehabilitation Hospital.
authors.forename: Makoto
authors.initials: M
authors.lastname: Katsuno
authors.forename: Rokuya
authors.initials: R
authors.lastname: Tanikawa
authors.forename: Takanori
authors.initials: T
authors.lastname: Miyazaki
authors.forename: Genki
authors.initials: G
authors.lastname: Uemori
authors.forename: Kazutsune
authors.initials: K
authors.lastname: Kawasaki
authors.forename: Naoto
authors.initials: N
authors.lastname: Izumi
authors.forename: Masaaki
authors.initials: M
authors.lastname: Hashimoto
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016893:Carotid Stenosis / Q000601:surgery*; D016894:Endarterectomy, Carotid / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D055502:Secondary Prevention; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome