Evolution of surgical approaches to carotid bifurcation

Close metadata

Recommended articles:

Advisability of carotid endarterectomy in asymptomatic patients. Pirogov Russian Journal of Surgery. 2024;(3):45-53

Prediction of cardiac risk before carotid endarterectomy in patients with coronary artery disease. Russian Journal of Cardiology and Cardiovascular Surgery. 2023;(6):618-625

Safety of carotid endarterectomy in patients over 70 years old in early period after ischemic stroke. Russian Journal of Cardiology and Cardiovascular Surgery. 2024;(1):82-88

How we choose between carotid endarterectomy and stenting. Russian Journal of Cardiology and Cardiovascular Surgery. 2024;(4):445-450

Simultaneous surgical treatment of a patient with bilateral carotid stenosis and infrarenal aortic occlusion. Russian Journal of Cardiology and Cardiovascular Surgery. 2024;(5):550-555

Carotid endarterectomy is preferable for prevention of acute cerebrovascular accident associated with atherosclerotic lesions of internal carotid artery. Modern interest in minimizing local complications and small excisions is also actual in carotid surgery. The authors review the modern literature data on evolution of carotid arteries exposure. Cutaneous mini-incision, transverse skin incision and retrojugular approach are discussed. The authors consider the advantages and possible complications of each technique.

Keywords:

carotid endarterectomy

carotid arteries exposure

transverse skin incision

mini-incision

rertrojugular approach

Authors:

Kutovaya A.S.

Vishnevsky National Medical Research Center of Surgery

ORCID: 0000-0001-7910-6665

Golovyuk A.L.

Vishnevsky National Medical Research Center of Surgery

ORCID: 0000-0001-6830-7832

Chupin A.V.

Vishnevsky National Medical Research Center of Surgery;
Russian Medical Academy of Continuous Professional Education

ORCID: 0000-0002-5216-9970

Received:

17.04.2023

Accepted:

05.10.2023

List of references:

Pokrovskiĭ AV, Beloyartsev DF. A role of carotid endarterectomy in prevention of cerebral ischemic damage. Zhurnal Nevrologii i Psikhiatrii im. S.S. Korsakova. 2015;115(9-2):4-14. (In Russ.). https://doi.org/10.17116/jnevro2015115924-14
Naylor AR, Ricco J, Borst GJ De, Debus S, Haro J De, Halliday A, Hamilton G, Kakisis J, Kakkos S, Lepidi S, Markus HS, McCabe DJ, Roy J, Sillesen H, van den Berg JC, Vermassen F, Esvs Guidelines Committee, Kolh P, Chakfe N, Hinchliffe RJ, Koncar I, Lindholt JS, Vega de Ceniga M, Verzini F, Esvs Guideline Reviewers, Archie J, Bellmunt S, Chaudhuri A, Koelemay M, Lindahl AK, Padberg F, Venermo M. Management of Atherosclerotic Carotid and Vertebral Artery Disease: 2017 Clinical Practice Guidelines of the European Society for Vascular Surgery (ESVS). European Journal of Vascular & Endovascular Surgery. 2018;55(1):3-81. https://doi.org/10.1016/j.ejvs.2017.06.021
Beloyartsev DF. Comparative Assessment of the Results of Different Techniques of Carotid Bifurcation Reconstruction. I.P. Pavlov Russian Medical Biological Herald. 2022;30(2):271-278. (In Russ.). https://doi.org/10.17816/PAVLOVJ104394
Mathias K. Perkutane transluminale Katheterbehandlung supraaortaler arterienobstruktionen. Angiologia. 1981;3(1):45-70.
Spacek M, Veselka J. Carotid Artery Stenting—Historical Context, Trends, and Innovations. International Journal of Angiology. 2015;24(03):205-209. https://doi.org/10.1055/s-0035-1556842
Ministerstvo zdravookhraneniya Rossiyskoy federatsii. Klinicheskiye rekomendatsii «Zakuporka i stenoz sonnoi arterii» (utv. Minzdravom Rossii). (In Russ.).
Beloiartsev DF. Istoriya izucheniya hronicheskoy sosudisto-mozgovoy nedostatochnosti. Angiologiya i sosudistaya hirurgia. 2022;28(1):9-12. (In Russ.). https://doi.org/10.33029/1027-6661-2022-28-1-9-12.
Pokrovskii AV. Clinicheskaya angiologiya. M.: Medicina; 2004. (In Russ.).
Beasley WD, Gibbons CP. Cranial Nerve Injuries and the Retrojugular Approach in Carotid Endarterectomy. The Annals of The Royal College of Surgeons of England. 2008;90(8):685-688. https://doi.org/10.1308/003588408X318138
Ascher E, Hingorani A, Marks N, Schutzer RW, Mutyala M, Nahata S, Yorkovich W, Jacob T. Mini skin incision for carotid endarterectomy (CEA): A new and safe alternative to the standard approach. Journal of Vascular Surgery. 2005;42(6):1089-1093. https://doi.org/10.1016/j.jvs.2005.08.026
de Donato G, Pasqui E, Panzano C, Guerrieri MW, Benevento D, Cappelli A, Setacci C, Palasciano G. Mini-Skin Incision for Carotid Endarterectomy: Neurological Morbidity and Health-related Quality of Life. Annals of Vascular Surgery. 2021;71:112-120. https://doi.org/10.1016/j.avsg.2020.07.034
Shukuzawa K, Ohki T, Kanaoka Y, Sumi M, Maeda K, Toya N, Ozawa H. Outcomes of mini-incision eversion carotid endarterectomy combined with nontouch isolation technique of the internal carotid artery. Journal of Vascular Surgery. 2018;67(2):490-497. https://doi.org/10.1016/j.jvs.2017.07.104
Bastounis E, Bakoyiannis C, Cagiannos C, Klonaris C, Filis C, Bastouni EE, Georgopoulos S. A Short Incision for Carotid Endarterectomy Results in Decreased Morbidity. European Journal of Vascular and Endovascular Surgery. 2007;33(6):652-656. https://doi.org/10.1016/j.ejvs.2006.12.028
Andrási TB, Kindler C, Dorner E, Strauch J. Transverse Small Skin Incision for Carotid Endarterectomy. Annals of Vascular Surgery. 2015;29(3):447-456. https://doi.org/10.1016/j.avsg.2014.10.014
Verta MJ, Applebaum EL, McClusky DA, Yao JST, Bergn JJ. Cranial Nerve Injury During Carotid Endarterectomy. Annals of Surgery. 1977;185(2):192-195. https://doi.org/10.1097/00000658-197702000-00010
Dehn TCB, Taylor GW. Cranial and cervical nerve damage associated with carotid endarterectomy. British Journal of Surgery. 2005;70(6):365-368. https://doi.org/10.1002/bjs.1800700619
Nikolaev AV. Topograficheskaya anatomiya i operativnaya hirurgiya. 3rd edition. M.: GEOTAR-Media; 2019. (In Russ.).
Mendes GA, Zabramski JM, Elhadi AM, Kalani MY, Preul MC, Nakaji P, Spetzler RF. Carotid Endarterectomy. Comparison of Complications Between Transverse and Longitudinal Incision. Neurosurgery. 2014;75(2):110-116. https://doi.org/10.1227/NEU.0000000000000356
Marcucci G, Antonelli R, Gabrielli R, Accrocca F, Giordano AG, Siani A. Short longitudinal versus transverse skin incision for carotid endarterectomy: impact on cranial and cervical nerve injuries and esthetic outcome. The Journal of Cardiovascular Surgery. 2011;52(2):145-152.
Sinha S, Fok M, Goh A, Gadhvi V. Outcomes after Transverse-Incision ‘Mini’ Carotid Endarterectomy and Patch-Plasty. Vascular Specialist International. 2019;35(3):137-144. https://doi.org/10.5758/vsi.2019.35.3.137
Deck M, Kopriva D. Patient and observer scar assessment scores favour the late appearance of a transverse cervical incision over a vertical incision in patients undergoing carotid endarterectomy for stroke risk reduction. Canadian Journal of Surgery. 2015;58(4):245-249. https://doi.org/10.1503/cjs.016714
Assadian A, Senekowitsch C, Pfaffelmeyer N, Assadian O, Ptakovsky H, Hagmüller GW. Incidence of Cranial Nerve Injuries after Carotid Eversion Endarterectomy with a Transverse Skin Incision under Regional Anaesthesia. European Journal of Vascular and Endovascular Surgery. 2004;28(4):421-424. https://doi.org/10.1016/j.ejvs.2004.06.019
Kluk J, Grainger S, Nyamekye IK. Is the Retrojugular Approach Safer Than the Conventional Approach for Carotid Endarterectomy? World Journal of Surgery. 2009;33(7):1533-1537. https://doi.org/10.1007/s00268-009-0052-0
Neri E, Giubbolini M, Setacci F, Baldi I, Setacci C. The retrojugular route: The ideal exposure for carotid endarterectomy performed under locoregional anesthesia. European Journal of Vascular and Endovascular Surgery. 2003;26(3):250-255. https://doi.org/10.1053/ejvs.2002.1932
Onwudike M. The Retrojugular Approach to Carotid Endarterectomy — A Safer Technique. European Journal of Vascular and Endovascular Surgery 2006;31(3):336. https://doi.org/10.1016/j.ejvs.2005.10.013
Antoniou G, Murray D, Antoniou S, Kuhan G, Serracino-Inglott F. Meta-analysis of retrojugular versus antejugular approach for carotid endarterectomy. The Annals of The Royal College of Surgeons of England. 2014;96(3):184-189. https://doi.org/10.1308/003588414X13814021679357
Scavée V, Theys S, Schoevaerdts JC. Does Retrojugular Route for Carotid Endarterectomy Increase the Risk of Internal Jugular Vein Thrombosis ? Acta Chirurgica Belgica. 2006;106(4):397-399. https://doi.org/10.1080/00015458.2006.11679914
Menon NJ, Krijgsman B, Sciacca L, Arena G, Hamilton G. The Retrojugular Approach to Carotid Endarterectomy — A Safer Technique? European Journal of Vascular and Endovascular Surgery. 2005;29(6):608-610. https://doi.org/10.1016/j.ejvs.2005.01.019
Vinogradov OA, Belov IuV, Komarov RN, Dziundzia AN. Retrojugular access to carotid arteries. Khirurgiya. Zurnal im. N.I. Pirogova. 2013;12:52-55. (In Russ.).
Schauber MD, Fontenelle LJ, Solomon JW, Hanson TL. Cranial/cervical nerve dysfunction after carotid endarterectomy. Journal of Vascular Surgery. 1997;25(3):481-487. https://doi.org/10.1016/S0741-5214(97)70258-1
Ballotta E, Da Giau G, Renon L, Narne S, Saladini M, Abbruzzese E, Meneghetti G. Cranial and cervical nerve injuries after carotid endarterectomy: a prospective study. Surgery. 1999;125(1):85-91.
Sajid MS, Vijaynagar B, Singh P, Hamilton G. Literature Review of Cranial Nerve Injuries During Carotid Endarterectomy. Acta Chirurgica Belgica. 2007;107(1):25-28. https://doi.org/10.1080/00015458.2007.11680006

Close metadata