Rescue version of a carotid micro-endarterectomy: an ACE-ICA anastomosis with proximal ICA and distal ACE hemoclip obliteration.

Carotid micro-endarterectomies (CEA) are common surgical procedures pursued to achieve revascularization of carotid arteries when occluded partially or fully by an atherosclerotic plaque. As with any surgical procedure, associated complications exist in small percentage of the cases. These can include blood flow limitation due to an insufficient artery wall after atherosclerotic plaque extraction as well as distal kinking of the internal carotid artery. In this article, we present two cases in which complications occurred. We present our" rescue" approach as well as discuss other possible techniques that can be applied in similar situations.