- Incision is along the anterior border of the SCM.
- Retract the SCM laterally.
- Ligate the facial vein.
- Isolate the CCA at the level of the omohyoid.
- Continue dissection distally.
- Can retract hypoglossal nerve anteriorly off the ICA.
- can divide digastrics.
- can dislocate mandible
- Dissect out ECA to its first branch (superior thyroid artery).
- Heperanize (100 Units / kg).
- Open the artery and feather out the plaque.
- Close with patch and flush ICA.