[Surgical technique and anatomical point of carotid endarterectomy]

Many different techniques have been utilized for carotid endarterectomy (CEA). The method demonstrated here employed a minor but significant alteration especially in the techniques for dissection and the removal of the atheromatous plaque. This was to cope with the Japanese atheromatous plaque which is, according to the author's study, characterized by the less marked atheroma ends both in the smaller internal carotid and common carotid artery with high bifurcation. In addition, the more fibrous nature of the plaque requires a technique to find and develop the adequate layer for the CEA. These techniques were explained together with related anatomies. Anatomical structures included in this article are summarized in Table 1.