• World Neurosurg · May 2017

    Utility of the Lone Star® Retractor System in Microsurgical Carotid Endarterectomy: Technical Notes.

    • Shingo Toyota, Tetsuya Kumagai, Tetsu Goto, Kanji Mori, and Takuyu Taki.
    • Department of Neurosurgery, Kansai Rosai Hospital, Hyogo, Japan. Electronic address: strokect@aol.com.
    • World Neurosurg. 2017 May 1; 101: 509-513.

    BackgroundThe retractor system is an important device in carotid endarterectomy (CEA). We applied the Lone Star (LS) Retractor System, which is a self-retaining retractor originally designed for improved visualization in many other surgical fields, in microsurgical CEA.MethodsThe LS disposal retractor (14.1 cm × 14.1 cm) and LS elastic stays (5-mm sharp hook) were used as a retractor system in 38 consecutive CEAs.ResultsUsing the LS retractor system, a shallow operative field could be obtained by lifting up the connective tissue surrounding the deep structures hooked by the LS elastic stays. The LS elastic stays were quick and easy to handle in the microsurgical operative field. There were no complications using the LS retractor system.ConclusionsThe application of the LS retractor system in microsurgical CEA is feasible. An additional merit is that it is single use.Copyright © 2017 Elsevier Inc. All rights reserved.

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