Abstract
We report several reconstructive surgeries for various cervical carotid lesions. Representative carotid surgery is carotid endarterectomy (CEA). Our method is a routine use of shunt system in CEA. The outcomes of our CEA are no mortality and 1.0% morbidity, which is attributable to meticulous surgical manipulations and perioperative general management, including blood pressure control under propofol sedation. In the extracranial carotid arterial system, other occlusive lesions have been experienced such as dissecting aneurysmal lesions, aortitis syndrome, non-penetrating carotid injury and common carotid stenotic lesions. We report vein graft and Gore-Tex artificial vessel bypass for dissecting carotid lesions and the common carotid artery severe stenotic lesions, respectively. These surgical reconstructions have resolved most of the patients complaints and symptoms without serious complications. Therefore, these reconstructive surgeries should be established as a guideline for extracranial carotid lesions.
