Surgical treatment of common carotid artery occlusion
Eight patients with common carotid artery (CCA) occlusion underwent bypass with saphenous vein to either the carotid bifurcation (five), the internal carotid artery (two), or the external carotid artery (one). Indications included ipsilateral transient ischemic attack (two), recent nondisabling hemi...
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| Veröffentlicht in: | The American journal of surgery 1993-03, Vol.165 (3), p.302-306 |
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| creator | Martin, Raymond S. Edwards, William H. Mulherin, Joseph L. Edwards, William H. |
| description | Eight patients with common carotid artery (CCA) occlusion underwent bypass with saphenous vein to either the carotid bifurcation (five), the internal carotid artery (two), or the external carotid artery (one). Indications included ipsilateral transient ischemic attack (two), recent nondisabling hemispheric stroke (two), and transient nonhemispheric cerebral symptoms (two). Two asymptomatic patients with CCA occlusion and contralateral internal carotid stenosis underwent prophylactic revascularization prior to planned aortic surgery. There were no perioperative strokes, occlusions, or deaths. Late ipsilateral stroke occurred in two patients, and one patient had a single transient ischemic attack after 2 years. The four patients with preoperative transient cerebral ischemia experienced relief of their symptoms.
Duplex ultrasound is an accurate screening modality for distal patency. Collateral filling of the internal or external carotid artery can usually be demonstrated after aortic arch or retrograde brachial contrast injection. End-to-end distal anastomosis after endarterectomy eliminates the original occlusive plaque as a potential source of emboli. The subclavian artery is preferred for inflow on the left. The CCA origin is easily accessible for inflow on the right. Bypass of the occluded CCA is safe and may be effective in relieving transient cerebral ischemic symptoms, although long-term ipsilateral neurologic sequelae may still occur. |
| doi_str_mv | 10.1016/S0002-9610(05)80830-X |
| format | Article |
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Duplex ultrasound is an accurate screening modality for distal patency. Collateral filling of the internal or external carotid artery can usually be demonstrated after aortic arch or retrograde brachial contrast injection. End-to-end distal anastomosis after endarterectomy eliminates the original occlusive plaque as a potential source of emboli. The subclavian artery is preferred for inflow on the left. The CCA origin is easily accessible for inflow on the right. Bypass of the occluded CCA is safe and may be effective in relieving transient cerebral ischemic symptoms, although long-term ipsilateral neurologic sequelae may still occur.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/S0002-9610(05)80830-X</identifier><identifier>PMID: 8447533</identifier><identifier>CODEN: AJSUAB</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Aged ; Anastomosis ; Aorta ; Aortic arch ; Biological and medical sciences ; Carotid arteries ; Carotid Arteries - surgery ; Carotid artery ; Carotid Artery, Common - surgery ; Carotid Stenosis - diagnostic imaging ; Carotid Stenosis - mortality ; Carotid Stenosis - surgery ; Cerebral blood flow ; Endarterectomy ; Female ; Humans ; Inflow ; Ischemia ; Male ; Medical sciences ; Middle Aged ; Neurological complications ; Neurology ; Occlusion ; Patients ; Radiography ; Saphenous Vein - transplantation ; Stenosis ; Stroke ; Transient ischemic attack ; Vascular diseases and vascular malformations of the nervous system ; Veins & arteries</subject><ispartof>The American journal of surgery, 1993-03, Vol.165 (3), p.302-306</ispartof><rights>1993 Reed Publishing USA</rights><rights>1993 INIST-CNRS</rights><rights>1993. Reed Publishing USA</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c483t-6d15c96f1e0ccd459852ad5bc3b5be5fb468bc0ce21c2df8e56d9924da9d8ea33</citedby><cites>FETCH-LOGICAL-c483t-6d15c96f1e0ccd459852ad5bc3b5be5fb468bc0ce21c2df8e56d9924da9d8ea33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S000296100580830X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4713015$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8447533$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Martin, Raymond S.</creatorcontrib><creatorcontrib>Edwards, William H.</creatorcontrib><creatorcontrib>Mulherin, Joseph L.</creatorcontrib><creatorcontrib>Edwards, William H.</creatorcontrib><title>Surgical treatment of common carotid artery occlusion</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>Eight patients with common carotid artery (CCA) occlusion underwent bypass with saphenous vein to either the carotid bifurcation (five), the internal carotid artery (two), or the external carotid artery (one). Indications included ipsilateral transient ischemic attack (two), recent nondisabling hemispheric stroke (two), and transient nonhemispheric cerebral symptoms (two). Two asymptomatic patients with CCA occlusion and contralateral internal carotid stenosis underwent prophylactic revascularization prior to planned aortic surgery. There were no perioperative strokes, occlusions, or deaths. Late ipsilateral stroke occurred in two patients, and one patient had a single transient ischemic attack after 2 years. The four patients with preoperative transient cerebral ischemia experienced relief of their symptoms.
Duplex ultrasound is an accurate screening modality for distal patency. Collateral filling of the internal or external carotid artery can usually be demonstrated after aortic arch or retrograde brachial contrast injection. End-to-end distal anastomosis after endarterectomy eliminates the original occlusive plaque as a potential source of emboli. The subclavian artery is preferred for inflow on the left. The CCA origin is easily accessible for inflow on the right. Bypass of the occluded CCA is safe and may be effective in relieving transient cerebral ischemic symptoms, although long-term ipsilateral neurologic sequelae may still occur.</description><subject>Aged</subject><subject>Anastomosis</subject><subject>Aorta</subject><subject>Aortic arch</subject><subject>Biological and medical sciences</subject><subject>Carotid arteries</subject><subject>Carotid Arteries - surgery</subject><subject>Carotid artery</subject><subject>Carotid Artery, Common - surgery</subject><subject>Carotid Stenosis - diagnostic imaging</subject><subject>Carotid Stenosis - mortality</subject><subject>Carotid Stenosis - surgery</subject><subject>Cerebral blood flow</subject><subject>Endarterectomy</subject><subject>Female</subject><subject>Humans</subject><subject>Inflow</subject><subject>Ischemia</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neurological complications</subject><subject>Neurology</subject><subject>Occlusion</subject><subject>Patients</subject><subject>Radiography</subject><subject>Saphenous Vein - transplantation</subject><subject>Stenosis</subject><subject>Stroke</subject><subject>Transient ischemic attack</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><subject>Veins & arteries</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkE1r3DAQhkVp2GzS_oSAISUkB7eS9WH5VErIFwRy2Bb2JuTRuCjYViLZgfz7aLPLHnLJaRjeZ4aXh5ATRn8yytSvFaW0KhvF6DmVF5pqTsv1F7Jkum5KpjX_SpZ75JAcpfSYV8YEX5CFFqKWnC-JXM3xvwfbF1NEOw04TkXoCgjDEMYCbAyTd4WNE8bXIgD0c_Jh_EYOOtsn_L6bx-Tf9dXfy9vy_uHm7vLPfQlC86lUjkloVMeQAjghGy0r62QLvJUtyq4VSrdAASsGles0SuWaphLONk6j5fyYnG3_PsXwPGOazOATYN_bEcOcTC1V1UilMnj6AXwMcxxzN1NpUQtZMyUyJbcUxJBSxM48RT_Y-GoYNRup5l2q2RgzVJp3qWad70523-d2QLe_2lnM-Y9dblNW2UU7gk97TNSMUyYz9nuLYVb24jGaBB5HQOcjwmRc8J8UeQOJeZMI</recordid><startdate>19930301</startdate><enddate>19930301</enddate><creator>Martin, Raymond S.</creator><creator>Edwards, William H.</creator><creator>Mulherin, Joseph L.</creator><creator>Edwards, William H.</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>19930301</creationdate><title>Surgical treatment of common carotid artery occlusion</title><author>Martin, Raymond S. ; Edwards, William H. ; Mulherin, Joseph L. ; Edwards, William H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c483t-6d15c96f1e0ccd459852ad5bc3b5be5fb468bc0ce21c2df8e56d9924da9d8ea33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Aged</topic><topic>Anastomosis</topic><topic>Aorta</topic><topic>Aortic arch</topic><topic>Biological and medical sciences</topic><topic>Carotid arteries</topic><topic>Carotid Arteries - surgery</topic><topic>Carotid artery</topic><topic>Carotid Artery, Common - surgery</topic><topic>Carotid Stenosis - diagnostic imaging</topic><topic>Carotid Stenosis - mortality</topic><topic>Carotid Stenosis - surgery</topic><topic>Cerebral blood flow</topic><topic>Endarterectomy</topic><topic>Female</topic><topic>Humans</topic><topic>Inflow</topic><topic>Ischemia</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neurological complications</topic><topic>Neurology</topic><topic>Occlusion</topic><topic>Patients</topic><topic>Radiography</topic><topic>Saphenous Vein - transplantation</topic><topic>Stenosis</topic><topic>Stroke</topic><topic>Transient ischemic attack</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Martin, Raymond S.</creatorcontrib><creatorcontrib>Edwards, William H.</creatorcontrib><creatorcontrib>Mulherin, Joseph L.</creatorcontrib><creatorcontrib>Edwards, William H.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Martin, Raymond S.</au><au>Edwards, William H.</au><au>Mulherin, Joseph L.</au><au>Edwards, William H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical treatment of common carotid artery occlusion</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>1993-03-01</date><risdate>1993</risdate><volume>165</volume><issue>3</issue><spage>302</spage><epage>306</epage><pages>302-306</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><coden>AJSUAB</coden><abstract>Eight patients with common carotid artery (CCA) occlusion underwent bypass with saphenous vein to either the carotid bifurcation (five), the internal carotid artery (two), or the external carotid artery (one). Indications included ipsilateral transient ischemic attack (two), recent nondisabling hemispheric stroke (two), and transient nonhemispheric cerebral symptoms (two). Two asymptomatic patients with CCA occlusion and contralateral internal carotid stenosis underwent prophylactic revascularization prior to planned aortic surgery. There were no perioperative strokes, occlusions, or deaths. Late ipsilateral stroke occurred in two patients, and one patient had a single transient ischemic attack after 2 years. The four patients with preoperative transient cerebral ischemia experienced relief of their symptoms.
Duplex ultrasound is an accurate screening modality for distal patency. Collateral filling of the internal or external carotid artery can usually be demonstrated after aortic arch or retrograde brachial contrast injection. End-to-end distal anastomosis after endarterectomy eliminates the original occlusive plaque as a potential source of emboli. The subclavian artery is preferred for inflow on the left. The CCA origin is easily accessible for inflow on the right. Bypass of the occluded CCA is safe and may be effective in relieving transient cerebral ischemic symptoms, although long-term ipsilateral neurologic sequelae may still occur.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>8447533</pmid><doi>10.1016/S0002-9610(05)80830-X</doi><tpages>5</tpages></addata></record> |
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| ispartof | The American journal of surgery, 1993-03, Vol.165 (3), p.302-306 |
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| subjects | Aged Anastomosis Aorta Aortic arch Biological and medical sciences Carotid arteries Carotid Arteries - surgery Carotid artery Carotid Artery, Common - surgery Carotid Stenosis - diagnostic imaging Carotid Stenosis - mortality Carotid Stenosis - surgery Cerebral blood flow Endarterectomy Female Humans Inflow Ischemia Male Medical sciences Middle Aged Neurological complications Neurology Occlusion Patients Radiography Saphenous Vein - transplantation Stenosis Stroke Transient ischemic attack Vascular diseases and vascular malformations of the nervous system Veins & arteries |
| title | Surgical treatment of common carotid artery occlusion |
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