New surgical procedures for the management of carotid kinking.

Three new operative techniques for the management of the kinking of the internal carotid artery are reviewed. Method 1: Resection of the internal carotid artery, end-to-end anastomosis with patch-graft angioplasty. Method 2: In situ reimplantation of the internal carotid artery by grafting. Method 3: Shortening of the internal carotid artery by suturing and its dilatation by patch-grafting. The advantages and the conditions of application of these methods are reported. Their application is also recommended to others.