Surgical Anatomy of the Cervical Carotid Artery for Carotid Endarterectomy
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概要
- 論文の詳細を見る
rights: 本文データは日本脳神経外科学会の許諾に基づきCiNiiから複製したものであるCarotid endarterectomy (CEA) is the main treatment for atherosclerotic plaque of the cervical internal carotid artery. The surgical anatomy of the carotid arteries was studied in the carotid triangle of 49 cadavers. The carotid bifurcation was located at the level of the lower third of C-3. The superior thyroid artery arose from the anterior wall of the external carotid artery in 70%. of specimens and from the distal portion of the common carotid artery in 30%. The lingual artery arose as a separate trunk between the origins of the superior thyroid and facial arteries in 81% of specimens, with the facial artery from a common trunk in 18%, and with the superior thyroid artery in 1%. The occipital artery arose from the posterior aspect of the external carotid artery above the level of origin of the facial artery in 57% of specimens, between the origins of the facial and lingual arteries in 32%, and below the origin of the lingual artery in 11%. The origin of the occipital artery was positioned low and the distal portion of the occipital artery was crossed by the hypoglossal nerve in 20%. The ascending pharyngeal artery arose from the posterior wall of the external carotid artery above the level of origin of the lingual artery in 66% of specimens, below the origin of the lingual artery in 9%, from the proximal portion of the occipital artery in 19%, from the carotid bifurcation in 2%, and from the internal carotid artery in 2%. The branches of the external carotid artery are the key landmarks for adequate exposure and appropriate placement of cross-clamps on the carotid arteries. It is necessary to understand the surgical anatomy of the carotid arteries to carry out successful removal of plaque and minimize postoperative complications in a bloodless surgical field.
- 日本脳神経外科学会の論文
- 2005-01-15
著者
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HORI Emiko
Department of Neurosurgery, Aomori Prefectural Central Hospital
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HAYASHI Nakamasa
Department of Neurosurgery, Faculty of Medicine, University of Toyama
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ENDO Shunro
Department of Neurosurgery, Faculty of Medicine, University of Toyama
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OHTANI Osamu
Departments of Anatomy, Faculty of Medicine, Toyama Medical and Pharmaceutical University
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KUWAYAMA Naoya
Department of Neurosurgery, University of Toyama
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Ohtani Osamu
Department Of Anatomy Faculty Of Medicine And Graduate School Of Medicine And Pharmaceutical Science
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Hori Emiko
Department Of Neurosurgery Faculty Of Medicine University Of Toyama
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Hori Emiko
Department Of Neurosurgery Aomori Prefectural Central Hospital
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Kuwayama Naoya
Department Of Neurosurgery Faculty Of Medicine University Of Toyama
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Hayashi Nakamasa
Department Of Neurosurgery Faculty Of Medicine University Of Toyama
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Hayashi Nakamasa
Department Of Neurosurgery Aomori Prefectural Central Hospital
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OHTANI Yuko
Department of Anatomy, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama
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Ohtani Yuko
Department Of Anatomy Faculty Of Medicine And Graduate School Of Medicine And Pharmaceutical Science
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Ohtani Yuko
Departments Of Anatomy Toyama Medical And Pharmaceutical University
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Endo Shunro
Department Of Neurosurgery Faculty Of Medicine University Of Toyama
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Kuwayama Naoya
Department Of Neurosurgery Toyama Medical And Pharmaceutical University
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