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Carotid shortening for high-grade kinking stenosis of the internal carotid artery type I/III on the right

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  1. Right cervical access

    Right cervical access
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    Under infiltration anaesthesia, incise the skin along the medial border of the sternocleidomastoid muscle. After dividing the subcutis and platysma, enter the anterior fascia of the neck and open the vascular sheath. Ligate and divide the facial vein.

  2. Dissecting the common carotid artery

    Dissecting the common carotid artery
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    Expose the anterior aspect of the common carotid artery (CCA), which is encircled and slung with a vessel loop as a tourniquet.

    Tip:

    Carefully spare the vagus nerve, which lies between the CCA and the internal jugular vein.

Dissecting the internal and external carotid arteries

The ICA and ECA are carefully mobilised using a no-touch technique and the ECA is then encircled wi

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