高位病変に対する内頚動脈内膜剝離

• 大森 一美

  社会医療法人生長会 府中病院　脳外科・脳血管センター

• 神吉 しづか

  社会医療法人生長会 府中病院　脳外科・脳血管センター

• 熊谷 哲也

  社会医療法人生長会 府中病院　脳外科・脳血管センター

• 福島 孝徳

  West Virginia大学　脳神経外科

• 真田 寧皓

  近畿大学医学部附属病院　脳神経外科

書誌事項

タイトル別名

• Extended Approach of Carotid Endarterectomy for High Cervical Lesions
• ─どのレベルまでの展開が可能か─

抄録

Carotid endarterectomy (CEA) is the main treatment for the cervical internal carotid artery stenosis, which is an important cause of transient ischemic attacks and strokes. The operation requires careful attention to technical details, and certain specific principles are essential to achieve a consistently favorable outcome. It is important to expose the distal internal carotid artery adequately to permit direct visualization of the entire extent of an atherosclerotic plaque. An anatomical understanding of the deep cervical fascia of which carotid sheath consists helps to achieve a successful removal of plaque for high cervical lesions. The deep cervical fascia fuses with the periosteum along the superior nuchal line of the occipital bone, over the mastoid process and along the entire base of the mandible. Between the angle of the mandible and the anterior edge of sternocleidomastoid muscle, the fascia is particularly strong. However, this should be dissected thoroughly to expose the internal carotid artery as high as the entrance of carotid canal. These procedures allow a good approach to the high-positioned carotid stenosis.<br>

収録刊行物

• 脳卒中の外科

  脳卒中の外科 41 (2), 89-95, 2013

  一般社団法人 日本脳卒中の外科学会

キーワード

• carotid endarterectomy
• high cervical lesions
• deep cervical fascia

詳細情報

• CRID: 1390001204673564160
• NII論文ID: 130004479854
• DOI: 10.2335/scs.41.89
• ISSN: 18804683
• ISSN: 09145508
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可