NDLI: Occlusion of the ascending pharyngeal artery during carotid artery surgery: importance and technique.

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Occlusion of the ascending pharyngeal artery during carotid artery surgery: importance and technique.

Content Provider	Semantic Scholar
Author	Umeoka, Katsuya Mizunari, Takayuki Murai, Yasuo Kobayashi, Shiro Namazu Morita, Akio
Copyright Year	2014
Abstract	AIM In surgeries involving clamping, opening and repairing the carotid artery such as carotid endarterectomy (CEA) and proximal anastomosis at radial artery (RA) grafting, back-bleeding, often due to insufficient occlusion of the ascending pharyngeal artery (APA), must be avoided. In 96% of cases the APA originates at the dorsal side of the external carotid artery, while in 2% each it arises at the carotid bifurcation or the internal carotid artery. We developed a method to prevent back-bleeding from the APA irrespective of its origin. MATERIAL AND METHODS For CEA we dissect the internal carotid artery and clamp the APA and the external carotid artery together. For RA grafting we dissect the external carotid artery and if the APA branches directly from this vessel, the APA is clamped directly. RESULTS We used our new surgical technique in 54 cases (22 CEA and 32 RA grafts) and encountered no major back-bleeding. CONCLUSION We consider this method to be simple and useful for improving the safety and success of carotid artery surgeries.
Starting Page	73
Ending Page	77
Page Count	5
File Format	PDF HTM / HTML
Alternate Webpage(s)	http://www.turkishneurosurgery.org.tr/pdf/pdf_JTN_1367.pdf
PubMed reference number	25050680v1
Alternate Webpage(s)	https://doi.org/10.5137/1019-5149.JTN.9527-13.0
DOI	10.5137/1019-5149.jtn.9527-13.0
Journal	Turkish neurosurgery
Volume Number	24
Issue Number	4
Language	English
Access Restriction	Open
Subject Keyword	Blood Vessel Tissue Carotid Arteries Carotid Endarterectomy Cooley's anemia External carotid artery structure Hemorrhage Internal carotid artery structure Operative Surgical Procedures Pharyngeal structure Structure of ascending pharyngeal artery Structure of radial artery Transplanted tissue Wound Healing
Content Type	Text
Resource Type	Article

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