Common carotid artery imbrication as an adjunct to carotid endarterectomy to prevent postoperative carotid kinking

Juergen Falkensammer, Albert Hakaim, W. Andrew Oldenburg, Todd B. Berland

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Mobilization of a tortuous carotid artery during endarterectomy may produce redundancy of the carotid artery, and kinking. We reviewed our experience with common carotid artery (CCA) imbrication as a technique to shorten the common and internal carotid artery postendarterectomy and to avoid carotid kinking. A retrospective chart review of 163 patients who underwent carotid endarterectomy by the same surgeon between August 1998 and February 2006 was performed. All patients underwent conventional endarterectomy via a longitudinal arteriotomy with an indwelling shunt and patch angioplasty. Patients undergoing concomitant carotid artery imbrication were identified. Twelve patients who underwent carotid imbrication were identified. The mean age was 74.9 ± 8.8 years. Nine patients underwent imbrication of the CCA, and in three cases, the internal carotid artery was plicated. Follow-up duplex ultrasound examinations were available for 10 individuals and mean follow-up time was 10.7 months (range, 1-58 months). There were no cases of peri- or postoperative cerebral accidents and there was no case of restenosis. CCA imbrication as an adjunct to carotid endarterectomy is a feasible technique in preventing postoperative carotid kinking.

Original languageEnglish (US)
Pages (from-to)276-278
Number of pages3
JournalAmerican Surgeon
Volume73
Issue number3
StatePublished - Mar 2007

Fingerprint

Carotid Endarterectomy
Common Carotid Artery
Carotid Arteries
Endarterectomy
Internal Carotid Artery
Angioplasty
Accidents

ASJC Scopus subject areas

  • Surgery

Cite this

Common carotid artery imbrication as an adjunct to carotid endarterectomy to prevent postoperative carotid kinking. / Falkensammer, Juergen; Hakaim, Albert; Oldenburg, W. Andrew; Berland, Todd B.

In: American Surgeon, Vol. 73, No. 3, 03.2007, p. 276-278.

Research output: Contribution to journalArticle

Falkensammer, Juergen ; Hakaim, Albert ; Oldenburg, W. Andrew ; Berland, Todd B. / Common carotid artery imbrication as an adjunct to carotid endarterectomy to prevent postoperative carotid kinking. In: American Surgeon. 2007 ; Vol. 73, No. 3. pp. 276-278.
@article{ae726f6f9a304b98a3f1742614e3d910,
title = "Common carotid artery imbrication as an adjunct to carotid endarterectomy to prevent postoperative carotid kinking",
abstract = "Mobilization of a tortuous carotid artery during endarterectomy may produce redundancy of the carotid artery, and kinking. We reviewed our experience with common carotid artery (CCA) imbrication as a technique to shorten the common and internal carotid artery postendarterectomy and to avoid carotid kinking. A retrospective chart review of 163 patients who underwent carotid endarterectomy by the same surgeon between August 1998 and February 2006 was performed. All patients underwent conventional endarterectomy via a longitudinal arteriotomy with an indwelling shunt and patch angioplasty. Patients undergoing concomitant carotid artery imbrication were identified. Twelve patients who underwent carotid imbrication were identified. The mean age was 74.9 ± 8.8 years. Nine patients underwent imbrication of the CCA, and in three cases, the internal carotid artery was plicated. Follow-up duplex ultrasound examinations were available for 10 individuals and mean follow-up time was 10.7 months (range, 1-58 months). There were no cases of peri- or postoperative cerebral accidents and there was no case of restenosis. CCA imbrication as an adjunct to carotid endarterectomy is a feasible technique in preventing postoperative carotid kinking.",
author = "Juergen Falkensammer and Albert Hakaim and Oldenburg, {W. Andrew} and Berland, {Todd B.}",
year = "2007",
month = "3",
language = "English (US)",
volume = "73",
pages = "276--278",
journal = "The American surgeon",
issn = "0003-1348",
publisher = "Southeastern Surgical Congress",
number = "3",

}

TY - JOUR

T1 - Common carotid artery imbrication as an adjunct to carotid endarterectomy to prevent postoperative carotid kinking

AU - Falkensammer, Juergen

AU - Hakaim, Albert

AU - Oldenburg, W. Andrew

AU - Berland, Todd B.

PY - 2007/3

Y1 - 2007/3

N2 - Mobilization of a tortuous carotid artery during endarterectomy may produce redundancy of the carotid artery, and kinking. We reviewed our experience with common carotid artery (CCA) imbrication as a technique to shorten the common and internal carotid artery postendarterectomy and to avoid carotid kinking. A retrospective chart review of 163 patients who underwent carotid endarterectomy by the same surgeon between August 1998 and February 2006 was performed. All patients underwent conventional endarterectomy via a longitudinal arteriotomy with an indwelling shunt and patch angioplasty. Patients undergoing concomitant carotid artery imbrication were identified. Twelve patients who underwent carotid imbrication were identified. The mean age was 74.9 ± 8.8 years. Nine patients underwent imbrication of the CCA, and in three cases, the internal carotid artery was plicated. Follow-up duplex ultrasound examinations were available for 10 individuals and mean follow-up time was 10.7 months (range, 1-58 months). There were no cases of peri- or postoperative cerebral accidents and there was no case of restenosis. CCA imbrication as an adjunct to carotid endarterectomy is a feasible technique in preventing postoperative carotid kinking.

AB - Mobilization of a tortuous carotid artery during endarterectomy may produce redundancy of the carotid artery, and kinking. We reviewed our experience with common carotid artery (CCA) imbrication as a technique to shorten the common and internal carotid artery postendarterectomy and to avoid carotid kinking. A retrospective chart review of 163 patients who underwent carotid endarterectomy by the same surgeon between August 1998 and February 2006 was performed. All patients underwent conventional endarterectomy via a longitudinal arteriotomy with an indwelling shunt and patch angioplasty. Patients undergoing concomitant carotid artery imbrication were identified. Twelve patients who underwent carotid imbrication were identified. The mean age was 74.9 ± 8.8 years. Nine patients underwent imbrication of the CCA, and in three cases, the internal carotid artery was plicated. Follow-up duplex ultrasound examinations were available for 10 individuals and mean follow-up time was 10.7 months (range, 1-58 months). There were no cases of peri- or postoperative cerebral accidents and there was no case of restenosis. CCA imbrication as an adjunct to carotid endarterectomy is a feasible technique in preventing postoperative carotid kinking.

UR - http://www.scopus.com/inward/record.url?scp=34147118019&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34147118019&partnerID=8YFLogxK

M3 - Article

VL - 73

SP - 276

EP - 278

JO - The American surgeon

JF - The American surgeon

SN - 0003-1348

IS - 3

ER -