Management of Complicated Carotid Endarterectomy

Abstract

Any neurologic deficit following carotid endarterectomy should be evalu ated early and rapidly by CT scan. If neither infarct nor hemorrhage is present, one should proceed to angiography and surgical correction.

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References

Moniz, E. : L'encéphalographic árterielle son importance dans la localisation des tumeurs cérébrales. Rev. Neurol. (Paris), 2: 72-90, 1927.

DeBakey, M.E. : Successful carotid endarterectomy for cerebrovascular insufficiency. Nineteen-year follow-up. JAMA, 233: 1083-1085, 1975.

Thompson, J.E. : Asymptomatic carotid bruit: Long-term outcome of patients having endarterectomy compared with unoperated controls. Ann. Surg., 188: 308-316, 1978.

Thompson, J.E. , Talkington, C.M. : Carotid endarterectomy. Ann. Surg., 184: 1-15, 1976.

Collins, G.J. , Jr., Rich, N.M. , Andersen, C.A. , et al.: Stroke associated with carotid endarterectomy. Am. J. Surg., 135: 221-225, 1978.

Wylie, E.J. , Ehrenfeld, W.K. : Pathophysiology of cerebrovascular occlusive disease. In Extracranial Occlusive Cerebrovascular Disease: Diagnosis and Management. Philadelphia, W.B. Saunders, 1970 .

Mirell, S. : Computerized Tomography. In Textbook of Nuclear Medicine. Edited by A.F.G. Rocha , J.C. Harbert. Philadelphia, Lea & Febiger, 1978.

Rosental, J.J. , Gaspar, M.R. , Morrus, H.J. : Intraoperative arteriography in carotid thromboendarterectomy. Arch. Surg., 106: 806-808, 1973.

Wylie, E.J. , Ehrenfeld, W.K. : Vascular examination and arteriography of the cerebral circulation. In Extracranial Occlusive Cerebrovascular Disease: Diagnosis and Management . Philadelphia, W.B. Saunders, 1970, p. 117.

10.

Hass, W.K. , Fields, W.S. , North, R.R. , et al.: Joint study of extracranial arterial occlusion. II. Arteriography, techniques, sites and complications. JAMA, 203: 961-968, 1968.

11.

Anderson, C.A. , Collins, G.J. , Jr., Rich, N.M. : Routine operative arteriography during carotid endarterectomy: A reassessment. Surgery, 83: 67-71, 1978.