Vanmaele R, Van Schil P, De Maeseneer M
Division de Chirurgie Vasculaire, Centre Hospitalier Universitaire, Antwerp, Belgium.
Ann Vasc Surg. 1990 Jan;4(1):81-4. doi: 10.1007/BF02042696.
We present an original technique which precludes narrowing of the internal carotid artery after simple closure of a longitudinal arteriotomy for endarterectomy. Derived from the technique used to treat excess length of the internal carotid artery, this procedure includes the following steps: (1) division of the internal carotid artery at its base; (2) slitting the carotid artery until reaching the distal part of the plaque; (3) endarterectomy of the internal carotid and common carotid-external carotid axis; and (4) reimplantation of the internal carotid into its ostium, enlarged to the new size of the divided carotid artery. It has been possible to use this technique in eight consecutive cases. Postoperative arteriograms and duplex scanning have shown that anatomic and functional results were excellent. Presently, this technique has our preference in the surgical treatment of atheromatous stenoses of the internal carotid artery.
我们介绍一种原创技术，该技术可避免在单纯闭合用于动脉内膜切除术的纵向动脉切开术后颈内动脉狭窄。此手术源自用于治疗颈内动脉过长的技术，包括以下步骤：（1）在颈内动脉基部将其离断；（2）切开颈动脉直至到达斑块远端；（3）对颈内动脉及颈总动脉-颈外动脉轴进行动脉内膜切除术；（4）将颈内动脉重新植入其扩大至离断颈动脉新尺寸的开口处。该技术已连续应用于8例病例。术后动脉造影和双功超声扫描显示，解剖和功能结果均极佳。目前，在颈内动脉粥样硬化狭窄的手术治疗中，我们更倾向于采用此技术。
