Saiseikai Utsunomiya hospital

BRAF/MEK Inhibitor Therapy for Recurrent Papillary Thyroid Carcinoma Encasing the Common Carotid Artery

従来，根治切除不能なRAI不応再発転移分化型甲状腺癌に対して使用されてきた多標的チロシンキナーゼ阻害薬のレンバチニブは，出血リスクから大血管浸潤が疑われる例では使用回避が望まれるが，BRAF/MEK阻害薬は明確な禁忌は示されていない。今回われわれは，総頸動脈を全周性に取り囲む甲状腺乳頭癌再...

Retrograde carotid fat pad flip method for carotid exposure during carotid endarterectomy

Background: Exposure of the distal internal carotid artery (ICA) during carotid endarterectomy (CEA) can be challenging in anatomically difficult cases. We present the retrograde carotid fat pad (CFP) flip method, a cranial-first, layer-oriented exposure strategy based on preserv...