Document Detail

Simultaneous bilateral carotid endarterectomies.
MedLine Citation:
PMID:  985079     Owner:  NLM     Status:  MEDLINE    
Twelve patients with bilateral symptomatic lesions of internal carotid arteries have had bilateral carotid endarterectomy at single operations without complications. These were patients up to age 80 who had prior mycardial infarction, stroke with recovery, and hemispheric and nonhemispheric episodes. Neurologist's clearance and three- or four-vessel intracranial-extracranial angiography preceded all operations, which were performed with the patient under general anesthesia. Stump pressure measurements were the principal guideline of adequacy of collateral flow and predictor of safe outcome. The safety of this concept of bilateral operations during one anesthesia can eliminate uncertainties of sequence and timing, obviate delay and indecision, and avoid the hazards of a second anesthetic-operative experience.
R H Clauss; P V Bole; M Paredes; W Doscher; A Adeyemo; M W Kreminitzer
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of surgery (Chicago, Ill. : 1960)     Volume:  111     ISSN:  0004-0010     ISO Abbreviation:  Arch Surg     Publication Date:  1976 Nov 
Date Detail:
Created Date:  1976-12-23     Completed Date:  1976-12-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9716528     Medline TA:  Arch Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1304-6     Citation Subset:  AIM; IM    
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MeSH Terms
Arterial Occlusive Diseases / surgery*
Carotid Artery Diseases / surgery*
Carotid Artery, Internal / surgery*
Middle Aged
Myocardial Infarction / etiology
Postoperative Complications

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