Rosenman J, Edwards W S, Robillard D, Geary G
Surg Gynecol Obstet. 1984 Sep;159(3):260-4.
Acute postoperative thrombosis and late restenosis are well known complications of carotid endarterectomy. Vein or synthetic patches are imperfect solutions leading to occasional infections, false aneurysms and possible rupture. A new technique is described that patches the internal carotid artery with the external carotid artery after complete endarterectomy of both vessels. Twenty-five of these procedures were performed upon 22 symptomatic patients with no early or late morbidity or mortality. Theoretic advantages include wide patching of the internal carotid artery above the endarterectomy end point where narrowing is most dangerous, full endarterectomy of the external carotid artery and double tacking of the endarterectomy end points to deter circumferential intimal flaps.
急性术后血栓形成和晚期再狭窄是颈动脉内膜切除术众所周知的并发症。静脉或合成补片是不完善的解决方案，会偶尔导致感染、假性动脉瘤和可能的破裂。本文描述了一种新技术，即在对双侧血管进行完全内膜切除术后，用颈外动脉修补颈内动脉。对22例有症状的患者进行了25次此类手术，无早期或晚期发病或死亡情况。理论优势包括在最危险的狭窄部位上方对颈内动脉进行广泛修补、对颈外动脉进行完全内膜切除以及对内膜切除终点进行双重固定以防止环形内膜瓣形成。
