The authors describe their own modification of carotid endarterectomy by eversion technique which they use in the čase of combined stenosis and kinking of internal carotid artery. Complete division of internal carotid artery from the common carotid artery at the bulb is performed in an oblique fashion, following by excision of redundant wall. Added longitudinal incision of common carotid artery enables perfect removal of the atherosclerotic plaque. Proper posterior wall anastomosis of common and internal carotid artery in the bulb is carried out by one-way-up technique. This is an alternativě to parachute technique and gives perfect view of operating field, thus decreasing the risk of technical mistake. Eversion technique of carotid endarterectomy represents an ideál operative technique in the čase of carotid stenosis combined with kinking.

        Key words: carotid artery stenosis - kinking - microendarterectomy - eversion technique