Stenosis of one carotid artery with occlusion of the contralateral carotid

23 patients with unilateral internal carotid artery stenosis (greater than 70%) and contralateral internal carotid artery occlusion in the neck are reported. The symptoms are referable to the side of the occlusion in 13 cases (57%), to the side of stenosis in 7 cases (30%) and non-localizing in 3 ca...

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Veröffentlicht in:Acta neurochirurgica 1989-01, Vol.101 (1-2), p.42-45
Hauptverfasser: CANTORE, G. P, SANTORO, A, DELFINI, R, MARIOTTINI, A, PALMA, L
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container_issue 1-2
container_start_page 42
container_title Acta neurochirurgica
container_volume 101
creator CANTORE, G. P
SANTORO, A
DELFINI, R
MARIOTTINI, A
PALMA, L
description 23 patients with unilateral internal carotid artery stenosis (greater than 70%) and contralateral internal carotid artery occlusion in the neck are reported. The symptoms are referable to the side of the occlusion in 13 cases (57%), to the side of stenosis in 7 cases (30%) and non-localizing in 3 cases (13%). All 23 patients had a carotid endarterectomy performed on the side of the stenotic lesion. There was no operative mortality. Late neurological symptomatology after surgery was referable to the side of stenosis in 13% and to the side of occlusion in 9%. The authors consider that, in cases of significant stenosis (greater than 70%) of an internal carotid artery with a contralateral occlusion, preference should always be given to end-arterectomy of the stenotic side, reserving extra-intracranial by-pass of the occluded side for patients who remain symptomatic after endarterectomy of the stenotic side.
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P</creatorcontrib><creatorcontrib>SANTORO, A</creatorcontrib><creatorcontrib>DELFINI, R</creatorcontrib><creatorcontrib>MARIOTTINI, A</creatorcontrib><creatorcontrib>PALMA, L</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>MEDLINE - Academic</collection><jtitle>Acta neurochirurgica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>CANTORE, G. 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source MEDLINE; SpringerLink Journals
subjects Adult
Aged
Arterial Occlusive Diseases - complications
Arterial Occlusive Diseases - mortality
Arterial Occlusive Diseases - surgery
Biological and medical sciences
Carotid Artery Diseases - complications
Carotid Artery Diseases - mortality
Carotid Artery Diseases - surgery
Female
Humans
Male
Medical sciences
Middle Aged
Neurology
Vascular diseases and vascular malformations of the nervous system
title Stenosis of one carotid artery with occlusion of the contralateral carotid
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