ABSTRACT

The technique of plaque removal from the ICA differs somewhat from the technique used in the CCA. Whereas sharp transection is nearly always needed to remove the proximal CCA plaque, in the ICA the plaque often feathers out quite nicely during dissection, leaving a smooth edge of intima up into the unexposed area of the ICA. Also, unlike the CCA, it is important to dissect the atheromatous plaque to its full extent so that no residual atheroma is left behind.