title: Access to the carotid artery bifurcation: Cadaveric study with application to nasotracheal intubation as a technique to improve access to a high carotid artery bifurcation.
abstract: Carotid endarterectomy (CEA) is a common and efficacious surgical procedure for the prevention of ischemic stroke due to atherosclerosis of the internal carotid artery (ICA). A high common carotid artery bifurcation can make CEA technically difficult due to limited carotid artery exposure. A cadaveric study was performed to evaluate the efficacy of nasotracheal intubation for improving access to a high carotid artery bifurcation. Based on this study, nasotracheal intubation does not improve access to a high carotid artery bifurcation as compared with orotracheal intubation.
authors: a Department of Neurological Surgery , University of Alabama at Birmingham , Birmingham , AL , USA.
authors: Paul M
authors: PM
authors: Foreman
authors: a Department of Neurological Surgery , University of Alabama at Birmingham , Birmingham , AL , USA.
authors: Mark R
authors: MR
authors: Harrigan
authors: a Department of Neurological Surgery , University of Alabama at Birmingham , Birmingham , AL , USA.
authors: Christoph J
authors: CJ
authors: Griessenauer
authors: b Department of Anatomical Sciences , St. George's University , Grenada.
authors: Marios
authors: M
authors: Loukas
authors: c Pediatric Neurosurgery, Children's Hospital , Birmingham , AL , USA.
authors: R Shane
authors: RS
authors: Tubbs
mesh_terms: D050197:Atherosclerosis / Q000150:complications / Q000473:pathology; D002545:Brain Ischemia / Q000473:pathology / Q000601:surgery; D002102:Cadaver; D002339:Carotid Arteries / Q000473:pathology* / Q000601:surgery*; D002343:Carotid Artery, Internal / Q000601:surgery; D016893:Carotid Stenosis; D016894:Endarterectomy, Carotid / Q000379:methods*; D006801:Humans; D007442:Intubation, Intratracheal / Q000379:methods*; D020521:Stroke / Q000473:pathology / Q000601:surgery
keywords: anatomy; carotid bifurcation; carotid endarterectomy; mandible; nasotracheal intubation