case_images: PMC4901814_01
case_images: The right lateral view of the internal carotid artery depicted by magnetic resonance angiography volume rendering images. (a) Preoperative magnetic resonance angiography shows the internal carotid artery curved steeply in a medial direction after the stenosis (arrow). (b) Postoperative magnetic resonance angiography shows that the kinked internal carotid artery is properly reconstructed. (c) Magnetic resonance angiography at 1 year after the operation demonstrates that there is no restenosis and that the internal carotid artery shape was preserved
case_images: SNI-7-434-g001.jpg
case_images: PMC4901814_01_SNI-7-434-g001.jpg
case_images: F1
case_images: The cervical ICA showed a strong curved course in the medial direction after the stenotic lesion on magnetic resonance angiography (MRA) [Figure 1a]. Postoperative MRA showed an appropriate course and no kinking of the ICA [Figure 1b]. The ICA shape was preserved at 1 year after the operation [Figure 1c].
case_images: The intraoperative findings. (a) The internal carotid artery is kinked after plaque resection (arrow). (b) Fibrinogen-soaked gelatin (arrowheads) is used to reinforce the kinked internal carotid artery. (c) The fixation (arrowheads) in a medial wall of the internal carotid artery is completed with thrombin. (d) The kink is released (arrow)
case_images: SNI-7-434-g002.jpg
case_images: PMC4901814_01_SNI-7-434-g002.jpg
case_images: F2
case_images: 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 [Figure 2].