Pricing
Sign Up
Video preload image for Transcervical Open Repair of Extracranial Internal Carotid Artery Aneurysm
jkl keys enabled
Keyboard Shortcuts:
J - Slow down playback
K - Pause
L - Accelerate playback
  • Title
  • 1. Introduction
  • 2. Prep and Drape
  • 3. Incision and Exposure
  • 4. Excision of Aneurysmal Sac
  • 5. Carotid Arterioplasty
  • 6. Closure
  • 7. Post-op Remarks

Transcervical Open Repair of Extracranial Internal Carotid Artery Aneurysm

1406 views

Miguel Angel Mendoza Romo-Ramírez, MD1; Jasanai Sausameda-García, MD2; Silverio Gutiérrez-Cruz, MD2; Kevin Johnson-Molina, MD2; Miguel Angel Mendoza-Romo, MD3; Carlos Flores-Ramirez, MD1
1Hospital Central del Estado, Chihuahua, Mexico
2Hospital General Regional #1. IMSS. Chihuahua, Mexico
3State Coordination Mexican Social Security Institute. IMSS-BIENESTAR. San Luis Potosi, Mexico.

Vascular SurgeryNeurosurgery

Procedure Outline

Table of Contents

  1. 1. Introduction
    1. 2. Prep and Drape
      1. 3. Incision and Exposure
        1. 4. Excision of Aneurysmal Sac
          1. 5. Carotid Arterioplasty
            1. 6. Closure
              1. 7. Post-op Remarks
                1. Preparing the Field
                2. Applying the First Layer of Drapes
                3. Fixing the First Layer of Drapes to the Skin
                4. Applying the Second Layer of Drapes
                5. Setting up Electrocautery and Suction
                1. Incision
                2. Extending the Incision into Subcutaneous Tissue and Platysma
                3. Increasing Exposure
                4. Dissection Through the Investing Layer of Cervical Fascia Across the Medial Border of Sternocleidomastoid Muscle
                5. Accessing the Vascular Sheath
                6. Identification and Ligation of the Small Sternomastoid Branch of the Superior Thyroid Artery
                7. Dissection of Carotid Sheath Vessels
                8. Isolating Internal Carotid Artery with an Elastic Vascular Loop away from Bifurcation
                9. Identification, Ligation, and Separation of the Anterior Attachment of the Posterior Belly of Digastric Muscle and the Common Facial Vein
                10. Excising the Posterior Belly of Digastric Muscle
                11. Technique for Controlling Hemorrhage from Accidental Vessel Injury
                12. Further Dissection to Expose Aneurysm
                13. More Technique for Controlling Hemorrhage from Accidental Vessel Injury
                14. Finish Dissection to Expose the Entire Aneurysm
                1. Division of External Carotid Artery
                2. Division of the Internal Carotid Artery and Accessing the Lumen of the Aneurysm
                3. Excision of Aneurysm Wall and Debridement
                1. Primary Repair of Common Carotid Artery Wall
                2. Primary End-to-End Anastomosis of Internal Carotid Artery
                3. Catheterization of Internal Jugular Vein and Insertion of Tissue Drain

                Share this Article

                Authors

                Filmed At:

                Hospital Central del Estado, Chihuahua, Mexico

                Article Information

                Publication Date
                Article ID460
                Production ID0460
                Volume2024
                Issue460
                DOI
                https://doi.org/10.24296/jomi/460