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Endoscopic approach for carotid artery surgery
F Rubino1, R Nahouraii, H Deutsch
1Minimally Invasive Surgery Center, Mount Sinai Medical Center, New York, NY 10029, USA. f.rubino@lycos.com
Surgical Endoscopy
|May 9, 2002
Summary
Endoscopic carotid artery surgery is technically feasible in pigs, offering a minimally invasive option for carotid repair. This approach successfully visualized and preserved vital neck structures while ensuring vessel patency.
Area of Science:
- Vascular Surgery
- Minimally Invasive Surgery
- Surgical Innovation
Background:
- Carotid endarterectomy remains a primary treatment for carotid artery stenosis.
- Endovascular techniques have advanced, but surgical repair is common.
- Minimally invasive neck surgeries are increasingly performed for other conditions.
Purpose of the Study:
- To assess the feasibility of an endoscopic approach for carotid artery surgery.
- To evaluate this technique in a large animal model.
Main Methods:
- Eight pigs underwent endoscopic carotid dissection using carbon dioxide insufflation.
- Arteriotomy and subsequent repair (direct closure or patch graft) were performed.
- Intracorporeal suturing techniques were utilized for graft placement.
Main Results:
- Successful carotid artery repair was achieved in all animals using a four-trocar technique.
- The endoscopic approach allowed visualization up to the cranial base, preserving nerves and structures.
- Carotid angiograms confirmed patent, nonstenotic vessels post-procedure.
Conclusions:
- Endoscopic carotid surgery is technically feasible in a porcine model.
- This minimally invasive technique offers potential advantages for carotid artery repair.
- It combines the benefits of minimally invasive surgery with effective arterial repair.