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John J. Rosental, MD; Max R. Gaspar, MD; Herbert J. Movius, MD

AMA Arch Surg. 1973;106(6):806-808.

Abstract
The value of routine intraoperative completion arteriography was studied in 260 thromboendarterectomies of the carotid bifurcation in 193 patients. An unacceptable defect was demonstrated in 8% of the endarterectomies. In 11 patients the external carotid artery was found occluded or narrowed distal to its orifice. In three cases the common carotid artery was reopened because of narrowing or remaining plaque or clot. The internal carotid artery was reexplored in seven patients—for complete occlusion in two, and for an intimal flap in five. We have improved our endarterectomy technique by immediate visualization of technical errors.

Author Affiliations
Long Beach, Calif

From St. Mary's Hospital of Long Beach, Calif.

Footnotes
Accepted for publication March 2, 1973.

Read before the annual meeting of the Southern California Chapter of the American College of Surgeons, Newport Beach, Calif, Jan 20, 1973.

Reprint requests to 1045 Atlantic Ave, Suite 1008, Long Beach, CA 90813 (Dr. Rosental).

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