Carotid endarterectomy in a patient with anterior ischemic neuropathy

A case of anterior ischemic optic neuropathy (AION) associated with 90% stenosis of the ipsilateral internal carotid artery (ICA) and diminished blood flow through the ophthalmic artery was studied. After carotid endarterectomy (CEA), the patient showed subjective and measurable improvement in visio...

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Veröffentlicht in:	Journal of vascular surgery 1998-12, Vol.28 (6), p.1107-1111
Hauptverfasser:	Mendez, Manuel V., Wijman, Christine A.C., Matjucha, Ippolit C.A., Menzoian, James O.
Format:	Artikel
Sprache:	eng
Schlagworte:	Biological and medical sciences Blood Flow Velocity Carotid Stenosis - complications Carotid Stenosis - surgery Endarterectomy, Carotid Humans Male Medical sciences Middle Aged Ophthalmic Artery - physiopathology Optic Neuropathy, Ischemic - complications Optic Neuropathy, Ischemic - physiopathology Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the heart Visual Acuity
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Beschreibung
Zusammenfassung:	A case of anterior ischemic optic neuropathy (AION) associated with 90% stenosis of the ipsilateral internal carotid artery (ICA) and diminished blood flow through the ophthalmic artery was studied. After carotid endarterectomy (CEA), the patient showed subjective and measurable improvement in vision and increased ophthalmic artery flows. This observation supports the role for screening carotid duplex scanning and transcranial Doppler in patients with AION. Early CEA in patients with associated ipsilateral ophthalmic artery hypoperfusion may improve visual outcome. (J Vasc Surg 1998;28:1107-11.)
ISSN:	0741-5214 1097-6809
DOI:	10.1016/S0741-5214(98)70038-2