Carotid endarterectomy with resection of internal carotid artery
Question:
Question ID # 4680 states that is a resection of part of the ICA took place its included within the 35301. It was answered in 2013 and we are wondering if there have been changes?
Facial veins are crossed carotid sheath was ligated and divided. CCA dissected free at the level of the omohyoid. The dissection was then carried out in a cephalad direction until the origin of the ECA and superior thyroid arteries were identified and dissected free. ICA dissected free up to the point where it passed below the posterior belly of the digastric muscle. It was noted to be somewhat redundant in this area, but it was dissected free past the area of stenosis. ECA/ICA and CCA’s were clamped. Arteriotomy in the CCA extended through the carotid bulb onto the ICA beyond the area of stenosis. All loose plaque and debris were removed. About a centimeter and a half of ICA was then resected just distal to the carotid bifurcation. The ICA spatulated suture the ICA was sewn to CCA reforming the back wall. The ECA & CCA were opened. After several heartbeats the ICA open.
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