原 著
CEAによる神経損傷を防ぐために─昭和大学における手技の工夫と手術教育─
2017 年 45 巻 1 号 p. 23-27
詳細
2017 年 45 巻 1 号 p. 23-27
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.
