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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_3660_Библиотеки_им_академика_М_И_Перельмана
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426 INDEX
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Surgical technique (continued)
internal shunt tube, removal of, 367
Javid clamp around internal carotid
artery, 218–219
Loftus shunt clamps, 220–221
Loftus-type carotid shunt in place,
250–251
Michel clips, platysma with, 146–147
microscopic internal carotid artery repair,
294–295
omohyoid, isolation of, 184–185
omohyoid muscle
division of, 188–189
low bifurcation with, 182–183
operative eld, nal view of, 368
parotid gland, dissection behind, 160–161
patch repair, four rip-stop free sutures in,
312–313
Peneld retractor, false plane
demonstrated with, 230–231
plaque content, observation of, 358
plaque removal at lateral edge, 256–257
platysma, closure of, 334–335
platysma incision, 345
potential for intimal damage from
placement of shunt, 246–247
Potts Scissors opening, 226–227
Potts Scissors opening vessel, 228–229
Prolene suture, “no touch” technique for,
292–293
proximal internal carotid artery, focal
plaque in, 232–233
repair with shunt in place, 254–255
retracted omohyoid, 186–187
ring clamp and blunt sh-hook retraction
for total carotid exposure, 168–169
Rummel tourniquet, placement of cross-
clamp below, 222–223
saphenous vein patch graft, placement of,
340–341
sharp transection
in common carotid artery, 361
in external carotid artery, 363
in internal carotid artery, 362
sheath, closure of, 332–333
shunt, removal of, 306–307
shunt down common carotid artery,
initial placement of, 238–239
shunt function, evaluation of, 252–253
shunt tube insertion
into common carotid artery, 357
into internal carotid arter, 356
side-by-side carotid anatomy, 198–199
side-by-side positioning, 138–139
skin and hemovac drain, 336–337
skin closure, 338–339
sternocleidomastoid muscle, 150–151
and great auricular nerve, 346
sternomastoid artery, 192–193
superior thyroid artery, isolation of
left carotid exposure, 202–203
right carotid exposure, 200–201
tacking suture placement in internal
carotid artery, 364
tactile and visual end of plaque
left carotid exposure, 210–211
right carotid exposure, 212–213
thyroid mass found at time of CEA,
174–175
unexpected internal carotid artery atresia,
172–173
Y-shaped suture line, 326–327
Suture line, clot along, 112–113
Symptomatic carotid disease, 2, 7
acute neurological decit, 9–10
recent stroke, special considerations with,
11
stump syndromes, 11
subacute complete carotid occlusion, 10
transient ischemic attacks,
8–9
T
Tacking sutures, 30
Tactile and visual end of plaque
left carotid exposure, 210–211
right carotid exposure, 212–213
Tandem lesions of carotid siphon, 14
Tandem stenosis, 96–97
TCD, see Transcranial Doppler
3D-CTA for evaluation of access routes,
62,62, 63–64
Three-dimensional CT angiography (3D-
CTA), 124, 126
3D-TOF MRA source image (SI-MRA), 119
Thyroid mass found at time of CEA,
174–175
TIAs, see Transient ischemic attacks
Time-of-ight (TOF) raw images, 407
TOF raw images, see Time-of-ight raw
images
Transcranial Doppler (TCD), 14, 20–21, 66
Transient ischemic attacks (TIAs), 2, 5, 8–9,
10, 13, 82, 392, 394
Travers, Benjamin, 2
U
UIA, see Unruptured intra-cranial
aneurysms
Ultrasonography, 118
Unruptured intra-cranial aneurysms (UIA),
14
V
VAAST, see Veterans Administration
Cooperative Trial on Asymptomatic
Carotid Stenosis
VASST, see Veterans Administration
Cooperative Trial of Symptomatic
Carotid Disease
VerifyNow, 61, 61
Veterans Administration Cooperative Trial
of Symptomatic Carotid Disease
(VASST), 8
Veterans Administration Cooperative Trial
on Asymptomatic Carotid Stenosis
(VAAST), 4–5
W
Weck clips, 156
application, 148
X
X-ray identication of ascending
pharyngeal artery, 94–95
Y
Y-shaped suture line, 326–327
Z
0 silk tie, CCA control with, 164–165
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