title: Distal internal carotid artery dissection due to the carotid shunt during carotid endarterectomy.
abstract: We described two cases of shunt-related distal internal carotid artery (ICA) dissection from high cervical ICA stenosis. These cases suggest that for high cervical internal carotid endarterectomy, surgeons should reconsider using a carotid shunt to reduce the risk of ICA dissection.
authors.affiliation: a Department of Neurosurgery , Teikyo University School of Medicine , Tokyo , Japan.
authors.forename: Makoto
authors.initials: M
authors.lastname: Katsuno
authors.affiliation: b Department of Neurosurgery , Teishinkai Hospital , Sapporo, Hokkaido , Japan.
authors.forename: Rokuya
authors.initials: R
authors.lastname: Tanikawa
authors.affiliation: c Department of Neurosurgery , Abashiri Neurosurgical and Rehabilitation Hospital , Abashiri, Hokkaido , Japan.
authors.forename: Masaaki
authors.initials: M
authors.lastname: Hashimoto
authors.affiliation: a Department of Neurosurgery , Teikyo University School of Medicine , Tokyo , Japan.
authors.forename: Akira
authors.initials: A
authors.lastname: Matsuno
mesh_terms: D020757:Amaurosis Fugax / Q000601:surgery; D001039:Aphasia, Broca / Q000601:surgery; D002343:Carotid Artery, Internal / Q000601:surgery; D020215:Carotid Artery, Internal, Dissection / Q000209:etiology* / Q000473:pathology; D016893:Carotid Stenosis / Q000601:surgery; D002544:Cerebral Infarction / Q000601:surgery; D016894:Endarterectomy, Carotid / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000628:therapy
keywords: carotid endarterectomy; dissection; internal carotid artery; surgery