Dolichoarteriopathy – Severe kinking with luminal narrowing type I/III of the right internal carotid artery

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  1. Right cervical access

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    Right cervical access
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    After infiltration anesthesia incise the skin along the medial border of the sternocleidomastoid muscle. Transect the subcutis and platysma, then enter the anterior fascia of the neck and open the vascular sheath. Ligate and divide the fascial vein. 

  2. Dissecting the common carotid artery

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

    Tip:

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

Dissecting the internal and external carotid arteries

Carefully mobilize the ICA and ECA in no-touch technique and then encircle the ECA with a surgical

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