Surgical Correction of Elongated Internal Carotid Artery

Abstract

The authors present the results of surgical correction of kinking and coiling of internal carotid in 63 patients who underwent 68 procedures; 51 patients (53 procedures) had kinking of the artery and 12 (15 procedures) had coiling. There were 2 intraoperative or postoperative deaths (2.9%) and 1 permanent cerebral ischemic event (1.5%). In 3 cases (4.4%) there was paresis of the ipsilateral recurrent laryngeal nerve with complete remission within six weeks. These results indicate that surgical correction is the treatment of choice for these anatomic lesions.