ABSTRACT

With 50% new photos and a vast selection of current clinical cases, this source supplies an abundance of color images and provides illustrative sections on the patch graft technique, recurrent disease, complex and unusual carotid surgeries, and discussions of carotid complications and their remedies. As in the First Edition, color photographs are a

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Radiographic Studies

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3 Side by Side

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4 Focal Internal Carotid Artery Ulcer

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5 Deep Ulceration of a Carotid Plaque

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6 Benign Arteriogram-Bad Ulceration

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7 Ninety-Five Percent Lesion

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9 String Sign

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11 Tandem Stenosis

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13 Can We Predict the Need for Shunting?

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15 Internal Carotid Stump

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16 Carotid Kink

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18 Intraluminal Thrombus

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19 Complication-Clot Along Suture Line

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Surgical Technique

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1 Surgical Instruments

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2 Surgical Positioning

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3 Alternate Incisions

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4 Side-by-Side Positioning

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5 Incision for High Bifurcation

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6 Draped and Ready for Incision

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7 Platysma with Michel Clips

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8 Sternocleidomastoid Muscle

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9 Jugular Vein-Common Facial Vein

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10 Ligation of Common Facial Vein

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12 Minor Branches of Facial Vein

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13 Dissection Behind Parotid Gland

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16 Four Sutures in the Carotid Sheath

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20 Low Bifurcation with Omohyoid Muscle

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22 Hypoglossal Nerve

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26 Side-by-Side Carotid Anatomy-Exposure

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35 Loftus Shunt Clamps

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51 Evaluation of Shunt Function

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52 Repair with Shunt in Place

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73 Removal of Shunt

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79 Y-Shaped Suture Line-No Patch Graft

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80 Surgicel on Dry Repair

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81 Closure of Sheath

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82 Closure of Platysma

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83 Skin and Hemovac

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84 Skin Closure

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COMPLICATIONS

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4 Postoperative Wound Hematoma

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Special Cases