ABSTRACT
I have found that the primary admonition regarding carotid kinks is to be aware that a redundant vessel can form this type of kink after endarterectomy repair if circumferential dissection is done around the common and internal carotid arteries. For this reason I make every effort to dissect only the lateral and superior surfaces of the artery necessary for arterial repair except at the three points where the arteries are circumferentially isolated for arterial control. When the artery is left in its bed in this way, it is much less likely to assume a redundant coil or kink, which might interfere with the satisfactory conclusion of an arterial repair.
