Surgical management of the patient with bilateral internal carotid artery occlusion |
| |
| Authors: | S G Friedman P J Lamparello T S Riles A M Imparato M P Sakwa |
| |
| Affiliation: | 1. Department of Surgery, Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, The Netherlands;2. Department of Pulmonology, Leiden University Medical Center, Leiden, the Netherlands;3. Department of Medical Statistics, Leiden University Medical Center, Leiden, the Netherlands;4. Department of Pathology, Leiden University Medical Center, Leiden, the Netherlands;1. Division of Molecular Pathology, Department of Pathology, School of Medicine, Tottori University Faculty of Medicine, Tottori, Japan, 683-8503;2. Department of Pathobiological Science and Technology, School of Health Science, Tottori University Faculty of Medicine, Tottori, Japan, 683-8503;3. Department of Histopathology, The Christie NHS Foundation Trust, Manchester, United Kingdom, M20 4BX;4. Department of Dermatology, School of Medicine, Kochi University Faculty of Medicine, Nankoku, Kochi, Japan, 783-8505 |
| |
| Abstract: | The patient with bilateral internal carotid artery occlusion is at high risk for development of stroke. Medical management and extracranial-intracranial bypass do not appear to offer these patients any protection from symptoms of cerebrovascular insufficiency. Our initial treatment in 11 of 12 patients who had this pattern of extracranial arterial occlusion has been external carotid artery revascularization. Nineteen procedures were performed for symptomatic lesions in all cases except one. There were no perioperative strokes or deaths. During a mean follow-up of 44.7 months, no new strokes occurred. Among 10 patients undergoing external carotid artery revascularization alone, only one transient ischemic attack occurred in follow-up. Seven of the eight surviving patients are presently asymptomatic. External carotid artery revascularization may be an effective and durable treatment for the patient with bilateral internal carotid artery occlusion. |
| |
| Keywords: | |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
