Endoscopy-assisted surgical treatment of carotid artery kinking.

OBJECTIVE

To evaluate the results of endoscopy-assisted surgical treatment of patients with 'high' tortuosity of the ICA.

MATERIAL AND

METHODS

Endoscopy-assisted surgical reconstruction of high tortuosity of the ICA was made in 11 patients. All procedures were carried out at the Sklifosofsky Research Institute for Emergency Medicine (Moscow) and Republican clinical hospital of Kabardino-Balkaria (Nalchik) for the period from 01.01.18 to 31.12.18.

RESULTS

There were no intraoperative and postoperative complications (blood flow velocity increased by 66.2% after surgery). Neurological improvement after surgery was noted in all patients. Partial or complete regression of dizziness was observed in 5 (45.5%) patients. Tinnitus disappeared in 7 (63.6%) patients.

CONCLUSION

Approach to the distal parts of ICA is traumatic, requires the use of additional techniques and considerable surgical experience. Endoscopic technique is valuable to reduce the risk of injury of soft tissues, neurovascular structures and improve functional outcomes.