Abstract
Carotid thrombo-endarterectomy was carried out on 11 patients with stenosis or occlusion of the extracranial carotid artery due to atherosclerosis.
In this paper, we discussed the operative procedure of the thrombo-endarterectomy, especially effectiveness of the interlacing vascular suture. The interlacing vascular suture did not cause narrowing of the diameter or shortening of the axial length of the vessel, and could close the arteriotomied wound water-tightly and rapidly. We succeed shortening the time of the temporary occlusion of the internal carotid artery as a result of using interlacing suture and removing thrombus as en bloc, the shortest is within 15 minutes.
We had excellent results in all 4 cases combined superior cervical ganglionectomy, perivascular sympathectomy and thrombo-endarterectomy. We proposed the combined operation in usually manner.
