METHOD OF SURGICAL CORRECTION OF STENOSIS OF INTERNAL CAROTID ARTERY

摘要

FIELD: medicine.;SUBSTANCE: cut of skin and the platysma is performed along the sternocleidomastoid muscle. After that bifurcation of the common carotid artery, the initial part of the external carotid artery with the superior thyroid artery and the internal carotid artery to an unchanged section is isolated. After that, the internal carotid artery is cut off with wide inclusion of anterior and lateral walls of the common carotid artery within the limits of the unchanged artery. The cut on the common carotid artery is started from bifurcation, continued along the common carotid artery to the end of a plaque, then, the direction of the cut is changed to transverse, with holding the wall of the common carotid artery that is being cut by forceps, the cut is continued under visual control from the side of the internal surface of the common carotid artery, the cut direction is changed back to a longitudinal one, with making the cut in such a way that a 3-5 mm thick posterior wall of the common carotid artery remains in the form of a bridge, connecting with the external carotid artery.;EFFECT: method makes it possible to reduce post-operative complications, and simultaneously ablate the atherosclerotic plaque, passing on the common carotid artery, without a necessity to carry out separate endarterectomy from the common carotid artery, reduce the time of the internal carotid artery cross-clamping, create a wide anastomosis, eliminating the probability of stenosis.;1 ex, 2 dwg