The reconstruction of the external carotid artery (EGA) and obliteration of
an occluded stump or atretic internal carotid artery (ICA) are described.
In this method the occluded ICA is used as an autologous patch graft. Satis
factory IGA obliteration and expanded, smooth common carotid artery-EGA con
tour were obtained in three patients. Advantages of this procedure include
ICA obliteration and precise patch placement by using an ideal, autologous,
arterial graft.