Pitfalls during Carotid Endarterectomy : Ascending Pharyngeal Artery of Internal Carotid Artery Origin

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  • 頸動脈血栓内膜摘除術におけるpitfalls : 内頸動脈起始の上行咽頭動脈

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The authors report 2 cases of ascending pharyngeal artery originating from the internal carotid artery, which caused troublesome bleeding during carotid endarterectomy. The frequency of these findings is reported to be less than 2% for carotid endarterectomy. If the inadvertent bleeding occurs at the time of carotid incision, especially in the cases of high positioned carotid bifurcation (higher than the upper margin of 3rd vertebral body), the presence of external carotid artery branches originating from the internal carotid artery must be remembered.

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