A 68-year-old male with left hemiparesis admitted to our institute. Magnetic resonance imaging showed multiple spotty cerebral infarctions in the right middle cerebral artery. The right cervical ICA showed 75% stenosis with a plaque hemorrhage, which might have caused an artery-to-artery embolism. The cervical ICA showed a strong curved course in the medial direction after the stenotic lesion on magnetic resonance angiography (MRA) []. CEA was planned to reduce the risk reduction of recurrence. After final closure, a distal portion of the ICA was found to have been kinked after removal of the plaque due to the discrepancy in vessel wall thickness []. Fibrin glue and gelatin were used to reinforce the medial arterial wall and repair the kink. Gelatin was soaked with fibrinogen before fixation. The fibrinogen-soaked gelatin was applied to reconstruct the kinked ICA and return it to its optimal position. The gelatin was fixed with thrombin which converts fibrinogen to fibrin. Intraoperative Doppler sonography and indocyanine green angiography demonstrated the release of the kink. Postoperative MRA showed an appropriate course and no kinking of the ICA []. The ICA shape was preserved at 1 year after the operation [].