Carotid Endarterectomy with Twisted Internal Jugular Vein Located Anterior to the Common Carotid Artery
Abstract: The knowledge of both normal and abnormal anatomy of the veins of the neck may be important for surgeons performing carotid endarterectomy (CEA), to avoid inadvertent injury to vascular structures. We present three cases of abnormal course of the internal jugular vein (IJV) which run anterior to the common carotid artery, named twisted IJV, that usually run posterolateral to the common carotid artery in patients undergoing CEA. These twisted IJV cases were detected by preoperative multidetector computed tomography angiography evaluation. During the CEA procedure, before identifying the common carotid artery, we dissected the retromandibular space to find the common facial vein. Then, dissection proceeded along the common facial vein caudally to find the IJV. After ligation and cutting of the common facial vein, a carotid sheath with the IJV turned laterally revealed the common carotid artery safely, and CEA was accomplished. Our clinical experience shows that knowledge of the anatomical anomaly of the IJV allows safe dissection of the carotid triangle avoiding inadvertent injury to the vasculature and vagus nerve.
- Standort
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Deutsche Nationalbibliothek Frankfurt am Main
- Umfang
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Online-Ressource
- Sprache
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Englisch
- Erschienen in
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Carotid Endarterectomy with Twisted Internal Jugular Vein Located Anterior to the Common Carotid Artery ; day:18 ; month:10 ; year:2024
Asian journal of neurosurgery ; (18.10.2024)
- Beteiligte Personen und Organisationen
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Endo, Arumu
Toyooka, Terushige
Fujii, Kazuya
Takeuchi, Satoru
Yoshiura, Toru
Nakagawa, Masaya
Otsuka, Yohei
Tomiyama, Arata
Wada, Kojiro
- DOI
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10.1055/s-0044-1791841
- URN
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urn:nbn:de:101:1-2412261055426.877079511778
- Rechteinformation
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Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Letzte Aktualisierung
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15.08.2025, 07:28 MESZ
Datenpartner
Deutsche Nationalbibliothek. Bei Fragen zum Objekt wenden Sie sich bitte an den Datenpartner.
Beteiligte
- Endo, Arumu
- Toyooka, Terushige
- Fujii, Kazuya
- Takeuchi, Satoru
- Yoshiura, Toru
- Nakagawa, Masaya
- Otsuka, Yohei
- Tomiyama, Arata
- Wada, Kojiro
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