Document Detail

External carotid artery revascularization: indications, operative techniques and results.
MedLine Citation:
PMID:  1601915     Owner:  NLM     Status:  MEDLINE    
The external carotid artery (ECA) is an important collateral pathway in patients with ipsilateral internal carotid artery (ICA) occlusion and recurrent symptoms. An ipsilateral ECA revascularization can improve cerebral perfusion or eliminate an embolic source. In the past 11 years 11 patients underwent operation, 6 times for amaurosis fugax and 5 times for transient ischaemic attacks. Eight times ECA endarterectomy was performed for stenosis and/or ulceration. Eight times closure or separation of the ICA stump with thrombus was carried out. There were no perioperative neurological deficits or deaths, with the exception of 3 patients who already had a long-standing deficit due to the ICA occlusion. All patients were relieved of their ocular or hemispheric symptoms in a follow-up period of 8 years. Two late strokes occurred after 1 1/4 and 4 years. Ipsilateral ECA revascularization is an effective and safe operation and has good long-term results.
A H Boontje
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  33     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:    1992 May-Jun
Date Detail:
Created Date:  1992-07-14     Completed Date:  1992-07-14     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0066127     Medline TA:  J Cardiovasc Surg (Torino)     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  315-8     Citation Subset:  IM    
Department of Surgery, University Hospital, Groningen, Holland.
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MeSH Terms
Blindness / surgery
Carotid Artery, External / surgery*
Carotid Artery, Internal / surgery
Carotid Stenosis / surgery
Chronic Disease
Endarterectomy / methods
Ischemic Attack, Transient / surgery
Middle Aged
Postoperative Complications / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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