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This study shows that small, transverse incisions for carotid endarterectomy (CEA) are safe and effective. This approach minimizes pain, improves aesthetics, and reduces cranial nerve injury (CNI) risk.

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Area of Science:

  • Vascular Surgery
  • Minimally Invasive Techniques
  • Cranial Nerve Injury Prevention

Background:

  • Traditional carotid endarterectomy (CEA) incisions can cause pain, poor aesthetics, and cranial nerve injury (CNI).
  • Alternative surgical approaches aim to improve patient outcomes and cosmetic results.

Purpose of the Study:

  • To evaluate the safety and efficacy of CEA using small, transverse incisions.
  • To assess outcomes including pain, aesthetics, and CNI associated with this novel approach.

Main Methods:

  • Retrospective analysis of 52 patients undergoing CEA with small (<5 cm), transverse incisions.
  • Data collected on patient demographics, operative details, anesthesia type, and complications.

Main Results:

  • The majority of procedures (92.3%) were performed under local anesthesia.
  • No persistent CNIs, bleeding complications, or in-hospital deaths were reported.
  • Low rates of transient neurological events and post-discharge strokes observed.

Conclusions:

  • Small, transverse incisions for CEA are a safe and feasible alternative.
  • This technique offers potential benefits in terms of reduced morbidity and improved cosmesis.