This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Russel H. Patterson, Jr., MD

Arch Neurol. 1974;30(2):188-189.

Abstract
In 23 patients carotid endarterectomy was performed in the presence of occlusion of the contralateral carotid artery. Postoperative morbidity and mortality were nil. Probably the low rate of complication was due to careful attention to preserving cerebral circulation during the operative procedure and to delaying operation until the patient was recovering from an acute cerebral infarction. An exception to the latter policy was made in two patients with an evolving stroke unresponsive to anticoagulants.

Of the 23 patients, three have subsequently died, and two have sustained a further episode of cerebrovascular insufficiency. One of these episodes may have been due to a cerebral embolus originating in the heart.

Author Affiliations
New York

From the Department of Surgery (Neurosurgery), Cornell University Medical College, New York.

Footnotes
Accepted for publication Aug 9, 1973.

Reprint requests to Department of Surgery (Neurosurgery), Cornell University Medical College, 1300 York Ave, New York 10028 (Dr. Patterson).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Extracranial Surgery for the Low-Flow-Endangered Brain
Whitten et al.
Arch Surg 1981;116:1165-1169.
ABSTRACT  

Therapy of Ischemic Cerebrovascular Disease
BYER and EASTON
ANN INTERN MED 1980;93:742-756.
ABSTRACT  

Carotid Endarterectomy in the Presence of Contralateral Carotid Occlusion: The Role of EEG and Intraluminal Shunting
Phillips et al.
Arch Surg 1979;114:1232-1239.
ABSTRACT