Document Detail


Revascularization of the internal carotid artery for isolated, stenotic, and symptomatic kinking.
MedLine Citation:
PMID:  12578419     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
HYPOTHESIS: The operation for isolated, stenotic, and symptomatic kinking of the internal carotid artery is safe and effective in preventing stroke and relieving the symptoms of cerebral ischemia. DESIGN: A consecutive sample clinical study with a mean follow-up of 44 months. SETTING: The surgical department of an academic tertiary care center and an affiliated secondary care center. PATIENTS: Fifty-four patients with a mean age of 67 years underwent 55 revascularizations of the internal carotid artery. The surgical procedures consisted of the following: shortening and reimplantation in the common carotid artery in 36 cases, bypass grafting in 15 cases, and transposition into the external carotid artery in 4 cases. MAIN OUTCOME MEASURES: Cumulative survival, primary patency, and stroke-free and neurologic symptom-free rates expressed by standard life-table analysis. RESULTS: No patients died in the postoperative period. The postoperative stroke rate was 1.8%. The cumulative rates (SEs) at 5 years were as follows: survival, 70% (10.2%); primary patency, 89% (7.8%); overall stroke free, 92% (6.8%); ipsilateral stroke free, 96% (5.3%); neurologic symptom free, 90% (7.5%); and ipsilateral symptom free, 93% (6.5%). CONCLUSION: Revascularization of the internal carotid artery for the treatment of isolated, stenotic, and symptomatic kinking is safe and effective in preventing stroke and relieving symptoms of cerebrovascular insufficiency.
Authors:
Giulio Illuminati; Francesco G Calió; Vassilios Papaspyropoulos; Giuseppe Montesano; Antonio D'Urso
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of surgery (Chicago, Ill. : 1960)     Volume:  138     ISSN:  0004-0010     ISO Abbreviation:  Arch Surg     Publication Date:  2003 Feb 
Date Detail:
Created Date:  2003-02-11     Completed Date:  2003-04-02     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9716528     Medline TA:  Arch Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  192-7     Citation Subset:  AIM; IM    
Affiliation:
Francesco Durante, Department of Surgical Sciences and Applied Technology, University of Rome La Sapienza, Via Vincenzo Bellini 14, 00198 Roma, Italy. giulio.illuminati@uniroma1.it
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MeSH Terms
Descriptor/Qualifier:
Aged
Brain Ischemia / surgery
Carotid Artery, Internal / surgery*
Carotid Stenosis / mortality,  surgery*
Female
Humans
Life Tables
Male
Stroke / prevention & control
Vascular Patency

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