Surgery for Cerebral Stroke
Online ISSN : 1880-4683
Print ISSN : 0914-5508
ISSN-L : 0914-5508
Original Articles
Surgical Consideration to Avoid Cranial Nerve Injury during Carotid Endarterectomy
Hajime YABUZAKI, Tohru MIZUTANI, Tatsuya SUGIYAMA, Masaki MATSUMOTO, Takato NAKAJO, Kenji SUMI, Kazuki IIZUKA, Yu KATO, Minako KUBO, Yu SAKAMOTO, Youichi IMAIZUMI
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Keywords: carotid endarterectomy, cranial nerve injury, surgery
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2017 Volume 45 Issue 1 Pages 23-27

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Abstract
Carotid endarterectomy (CEA) is an effective choice of treatment for the prevention of stroke in patients with carotid artery stenosis. The prevention of cranial nerve injury during CEA is necessary in order to improve the surgical outcome. In our institute, 641 CEA procedures were performed by 34 operators between January 1997 and June 2013. All the procedures were performed in a unified way, such that they were performed in the carotid sheath. We found that the incidence of persistent cranial nerve injury was 1.4%, which is a very good result.
We report our surgical considerations regarding protecting the cranial nerves and improving the surgical outcomes.
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© 2017 by The Japanese Society on Surgery for Cerebral Stroke
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