Foreman Paul M, Harrigan Mark R, Griessenauer Christoph J, Loukas Marios, Tubbs R Shane
a Department of Neurological Surgery , University of Alabama at Birmingham , Birmingham , AL , USA.
b Department of Anatomical Sciences , St. George's University , Grenada.
Br J Neurosurg. 2015;29(6):865-7. doi: 10.3109/02688697.2015.1071331. Epub 2015 Aug 27.
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.
颈动脉内膜切除术（CEA）是预防因颈内动脉（ICA）动脉粥样硬化导致缺血性卒中的一种常见且有效的外科手术。由于颈动脉暴露受限，高位颈总动脉分叉会使CEA在技术上具有难度。开展了一项尸体研究以评估经鼻气管插管改善高位颈动脉分叉暴露的效果。基于该研究，与经口气管插管相比，经鼻气管插管并不能改善高位颈动脉分叉的暴露情况。
