ABSTRACT
Side-by-Side Positioning The photograph and drawing in this figure illustrate the positioning for a side-by-side carotid exposure when the ICA is hidden, tucked away underneath the external carotid artery (ECA). (An angiographic view of this is shown in Fig. 2-3.) As previously discussed, the face and head must be turned radically to the contralateral side in order to swing the ICA out into a more accessible position for this type of exposure. Even with this type of positioning, it will be necessary to do an extensive dissection along the ICA and to most likely pull it out from its adventitial bed into a more accessible position before performing endarterectomy.
