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 |
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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. |
doi_str_mv | 10.1007/BF01410067 |
format | Article |
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P ; SANTORO, A ; DELFINI, R ; MARIOTTINI, A ; PALMA, L</creator><creatorcontrib>CANTORE, G. P ; SANTORO, A ; DELFINI, R ; MARIOTTINI, A ; PALMA, L</creatorcontrib><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.</description><identifier>ISSN: 0001-6268</identifier><identifier>EISSN: 0942-0940</identifier><identifier>DOI: 10.1007/BF01410067</identifier><identifier>PMID: 2603766</identifier><identifier>CODEN: ACNUA5</identifier><language>eng</language><publisher>Wien: Springer</publisher><subject>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</subject><ispartof>Acta neurochirurgica, 1989-01, Vol.101 (1-2), p.42-45</ispartof><rights>1990 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c311t-916ae80d533e5a9dd3cd3e579bdd34832723d65b8e62cd020fae3b6ec896a5463</citedby><cites>FETCH-LOGICAL-c311t-916ae80d533e5a9dd3cd3e579bdd34832723d65b8e62cd020fae3b6ec896a5463</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=6640950$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2603766$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>CANTORE, G. P</creatorcontrib><creatorcontrib>SANTORO, A</creatorcontrib><creatorcontrib>DELFINI, R</creatorcontrib><creatorcontrib>MARIOTTINI, A</creatorcontrib><creatorcontrib>PALMA, L</creatorcontrib><title>Stenosis of one carotid artery with occlusion of the contralateral carotid</title><title>Acta neurochirurgica</title><addtitle>Acta Neurochir (Wien)</addtitle><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.</description><subject>Adult</subject><subject>Aged</subject><subject>Arterial Occlusive Diseases - complications</subject><subject>Arterial Occlusive Diseases - mortality</subject><subject>Arterial Occlusive Diseases - surgery</subject><subject>Biological and medical sciences</subject><subject>Carotid Artery Diseases - complications</subject><subject>Carotid Artery Diseases - mortality</subject><subject>Carotid Artery Diseases - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neurology</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><issn>0001-6268</issn><issn>0942-0940</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1989</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkM1Lw0AQxRdRqlYv3oUcxIMQnf3IJjlqsX5Q8KCew2R3QyNptu5ukP73bmmsl5k3zG8ezCPkgsItBcjvHuZARVQyPyAnUAqWxgKHUQPQVDJZHJNT77_ixHLBJ2TCJPBcyhPy-h5Mb33rE9sktjeJQmdDqxN0wbhN8tOGZWKV6gbf2n4LhWWEbB8cdhgR7P5OzshRg50352Ofks_548fsOV28Pb3M7hep4pSGtKQSTQE649xkWGrNlY4qL-soRcFZzriWWV0YyZQGBg0aXkujilJiJiSfkuud79rZ78H4UK1ar0zXYW_s4Ks8_i44QARvdqBy1ntnmmrt2hW6TUWh2gZX_QcX4cvRdahXRu_RMam4vxr36BV2jcNetX6PSSmgzID_Ar3sdIQ</recordid><startdate>19890101</startdate><enddate>19890101</enddate><creator>CANTORE, G. 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P ; SANTORO, A ; DELFINI, R ; MARIOTTINI, A ; PALMA, L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c311t-916ae80d533e5a9dd3cd3e579bdd34832723d65b8e62cd020fae3b6ec896a5463</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1989</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Arterial Occlusive Diseases - complications</topic><topic>Arterial Occlusive Diseases - mortality</topic><topic>Arterial Occlusive Diseases - surgery</topic><topic>Biological and medical sciences</topic><topic>Carotid Artery Diseases - complications</topic><topic>Carotid Artery Diseases - mortality</topic><topic>Carotid Artery Diseases - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neurology</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>CANTORE, G. 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. P</au><au>SANTORO, A</au><au>DELFINI, R</au><au>MARIOTTINI, A</au><au>PALMA, L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Stenosis of one carotid artery with occlusion of the contralateral carotid</atitle><jtitle>Acta neurochirurgica</jtitle><addtitle>Acta Neurochir (Wien)</addtitle><date>1989-01-01</date><risdate>1989</risdate><volume>101</volume><issue>1-2</issue><spage>42</spage><epage>45</epage><pages>42-45</pages><issn>0001-6268</issn><eissn>0942-0940</eissn><coden>ACNUA5</coden><abstract>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.</abstract><cop>Wien</cop><cop>New York, NY</cop><pub>Springer</pub><pmid>2603766</pmid><doi>10.1007/BF01410067</doi><tpages>4</tpages></addata></record> |
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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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