Revisiting carotid endarterectomy: Neobulb technique using external carotid artery as a patch

This study describes an alternative carotid bifurcation endarterectomy technique in which the external carotid artery is used as a suture patch.Charts of ten patients with atherosclerotic carotid stenosis that were treated using the neobulb technique between 2002 and 2019 were reviewed.No major surgical adverse event was observed in the postoperative assessments. No postoperative common or internal carotid stenosis was observed in the mid- or long-term follow-up.The neobulb technique allows carotid endarterectomy closure without a synthetic or venous patch, using the external carotid artery as an autologous patch, while preserving distal flow into the external carotid artery branches.