[A method of endarterectomy of carotid artery bifurcation]

A new method for endarterectomy of the bifurcation of the carotid artery is described. The author applied it in 25 operations. It allows qualitative one-stage open endarterectomy from the common, internal, and external carotid arteries. By means of this method new orifices of the external and internal carotid arteries, lined with a normal intima, can be created, which reduces the possibility of their restenosis. The essence of the method consists in complete separation of the internal carotid artery from the bifurcation of the common carotid artery, longitudinal cutting in the distal direction of the internal and external carotid arteries and their side-to-side anastomosis, as a result of which their lumina are integrated and the bifurcation of the common carotid artery is artificially transposed distally.