Document Detail


External carotid revascularization: review of a ten-year experience.
MedLine Citation:
PMID:  4032609     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In the presence of ipsilateral internal carotid artery (ICA) occlusion, external carotid artery (ECA) revascularization can improve cerebral perfusion or eliminate an embolic source. From 1974 through 1984, 37 patients at The Cleveland Clinic underwent 42 ECA reconstructions; autologous patch angioplasty and intraluminal shunting were used when feasible. Thirty procedures were limited to primary ECA revascularization, whereas 12 extended procedures were performed as reoperations after previous ECA endarterectomy or required complementary subclavian or intracranial bypass. There were no early postoperative deaths nor neurologic morbidity in the limited group, but one death, four ipsilateral hemispheric strokes, and one retinal embolism occurred in the extended group. Ten patients have died during a follow-up interval of 1 to 72 months (mean 27 months). Five late deaths were caused by myocardial infarction, only one of which was complicated by a contralateral stroke. Two additional strokes have occurred; one involved the ipsilateral and one the contralateral cerebral hemisphere. Five other patients experienced recurrent cerebral or ocular ischemic symptoms. In conclusion, extended ECA reconstruction is associated with a higher operative risk than limited revascularization. Late follow-up is necessary to detect those patients who may eventually require additional management of recurrent cerebrovascular symptoms or incidental coronary artery disease.
Authors:
P J O'Hara; N R Hertzer; E G Beven
Related Documents :
16087759 - Impaired clearance of microemboli and cerebrovascular symptoms during carotid stenting ...
3318569 - Comparison of auscultation, continuous wave doppler imaging, intravenous digital subtra...
14571479 - Simultaneous stenting of the carotid artery and other coronary or extracoronary arterie...
16226169 - Slow-flow phenomenon during carotid artery intervention with embolic protection devices...
9548009 - Frequency and determinants of microembolic signals on transcranial doppler in unselecte...
17308519 - Strategies for avoidance of nonembolic stroke during carotid artery stenting.
2643999 - Clinically unsuspected complications of arterial surgery shown by post-operative digita...
16451269 - Traumatic optic nerve avulsion and central retinal artery occlusion following rugby inj...
12239639 - Isolated iliac artery aneurysmocolonic fistula with pericolic abscess.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  2     ISSN:  0741-5214     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  1985 Sep 
Date Detail:
Created Date:  1985-10-02     Completed Date:  1985-10-02     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  709-14     Citation Subset:  IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aged
Arterial Occlusive Diseases / surgery*
Carotid Artery Diseases / surgery*
Carotid Artery, External / surgery*
Carotid Artery, Internal
Cerebral Revascularization*
Cerebrovascular Disorders / etiology
Endarterectomy
Female
Follow-Up Studies
Humans
Male
Middle Aged
Postoperative Complications
Risk

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


Previous Document:  A new method for the prediction of peripheral vascular resistance from the preoperative angiogram.
Next Document:  The fate of human umbilical vein grafts as an infrarenal aortic substitute in monkeys.