This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (92)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Wesley S. Moore, MD; Albert D. Hall, MD

AMA Arch Surg. 1970;101(6):708-716.

Abstract
The mechanism by which carotid bifurcation atheroma produces transient neurologic dysfunction has been explained by the arterial stenotic and the arterial embolic theories. There are several observations, however, that cannot be explained by the stenotic theory alone. The embolic theory is a better explanation, but has been difficult to prove because the criterion for operative selection is a high grade stenosis. Relief of symptoms, therefore, could be due either to improved blood flow or removal of an embolic source. To separate the factor of improved blood flow, we have performed 49 carotid endarterectomies for nonstenotic, ulcerative lesions of the carotid bifurcation. Our patients have been totally relieved of hemispheric symptoms when followed for up to 39 months, suggesting that the cause of their transient ischemic attacks was the release of emboli from the carotid bifurcation.

Author Affiliations
San Francisco

From the surgical services, Veterans Administration Hospital and University of California, San Francisco.

Footnotes
Accepted for publication Aug 7, 1970.

Read before the 18th scientific meeting of the International Cardiovascular Society, Chicago, June 19, 1970.

Reprint requests to Veterans Administration Hospital, 4150 Clement St, San Francisco 94121 (Dr. Moore).

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

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Inapparent Hemodynamic Insufficiency Exacerbates Ischemic Damage in a Rat Microembolic Stroke Model Editorial Comment
Omae et al.
Stroke 2000;31:2494-2499.
ABSTRACT | FULL TEXT  

Carotid Surgery in the Community Hospital
Rubin and Graham
PERSPECT VASC SURG ENDOVASC THER 1990;3:30-41.
 

Acute Cerebral Ischemia in a Critical Care Unit: A Review of Diagnosis and Management
Levine
Arch Intern Med 1989;149:90-98.
ABSTRACT  

Asymptomatic Carotid Bruit and Stenosis: A Prospective Follow-up Study
Ford et al.
Arch Neurol 1986;43:219-222.
ABSTRACT  

Management of TIAs
Svoboda and Balaji
JAMA 1985;253:2192-2193.
ABSTRACT  

The Natural History of Carotid Plaque Development
Persson et al.
Arch Surg 1983;118:1048-1052.
ABSTRACT  

Neurologic Symptoms Associated With Nonobstructive Plaque at Carotid Bifurcation: Analysis by Real-Time B-Mode Ultrasonography
Weinberger and Robbins
Arch Neurol 1983;40:489-492.
ABSTRACT  

Surgical Treatment of Kinked Carotid Arteries: A Case Report
Yakirevich and Vidne
VASC ENDOVASCULAR SURG 1982;16:335-339.
ABSTRACT  

Prognosis of Asymptomatic Ulcerating Carotid Lesions
Kroener et al.
Arch Surg 1980;115:1387-1392.
ABSTRACT  

Natural History of Nonstenotic, Asymptomatic Ulcerative Lesions of the Carotid Artery
Moore et al.
Arch Surg 1978;113:1352-1359.
ABSTRACT