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severity of stress experienced by students may vary . End-to-end reconstruction is a good choice for some DICAs, but treatment grouping is necessary. In 2012, Dadashov et al. divided the treatment of ICA kinking into two groups: type I-pathological kinking without intimal proliferation and type II-pathological kinking with intimal proliferation. The operation for type I involves resection of the ICA with reimplantation into the native vascular bed, whereas the operation for type II patients involves resection of the kinking area of the ICA with end-to-end anastomosis to remove the septal portion . In type II kinking, the ICA is often transected at the origin and shortened by reimplantation on the bulb . In addition, in cases in which significant ICA stenosis and kinking coexist, resection of the involved segment with end-to-end anastomosis of the posterior wall combined with patch angioplasty using the resected autogenous arterial segment constitutes a convenient and satisfactory reconstruction method . In some cases, repairing the patch is necessary. This technique is illustrated in Figure 4..