Cerebrovascular Disease: Recent Progress in Research and Clinical Practice (3) : Carotid Endraterectomy for Stenotic Lesions

Surgical indications for cervical carotid stenotic lesions were established by international randomized control trials. We have treated 400 cervical carotid stenotic lesions with our carotid endarterectomy (CEA) method; a routine using a specially designed shunt system and a microscope. The shunt system was composed of a T-shaped silicone tube and clamps. The operative mortality and morbidity were 0% and 1.5%, respectively, which are acceptable levels in comparison with the results of international co-operative studies. Our method was applicable for higher cervical lesions extending to the upper C2 level. Multiple carotid lesions such as bilateral severe carotid stenoses were also safely treated. Although our method seemed to be an established procedure, postoperative hyperperfusion and restenosis following successful CEA remain to be resolved in future