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).
Clamp:
ICA
ECA
CCA
Open the artery and feather out the plaque.
Close with patch and flush ICA.
Unclamp:
ECA
CCA
ICA