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  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Evidence for Feasibility

Herbert I. Machleder, MD; Wiley F. Barker, MD

AMA Arch Surg. 1974;108(6):785-788.

Abstract
The contribution of the external carotid artery to cerebral blood flow was evaluated in eight patients undergoing carotid endarterectomy. With restoration of external carotid artery flow, the internal carotid artery back pressure was augmented by an average of 20.9%. This represented a mean rise in internal carotid artery back pressure of 10.8 mm Hg, a median rise of 12.8 mm Hg, and a range of 0 to 17.5 mm Hg rise in pressure. To provide cerebral protection during carotid endarterectomy, an external carotid artery shunt was utilized in four patients without technical difficulty and with satisfactory operative results. In selected cases this modality of cerebral protection may be a valuable adjunct in the performance of carotid endarterectomy.

Author Affiliations
Los Angeles

From the Department of Surgery, UCLA School of Medicine, Los Angeles.

Footnotes
Accepted for publication Feb 13, 1974.

Read before the annual meeting of the Southern California Chapter of the American College of Surgeons, Palm Springs, Calif, Jan 18, 1974.

Reprint requests to Department of Surgery, UCLA School of Medicine, Los Angeles, CA 90024 (Dr. Machleder).

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

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Management of Radiation-Induced Extracranial Arterial Occlusions at Multiple levels: A Case Report
Ligush et al.
VASC ENDOVASCULAR SURG 1995;29:511-517.
ABSTRACT  

The Treatment of Cerebral Ischemia by External Carotid Artery Revascularization
Schuler et al.
Arch Surg 1983;118:567-572.
ABSTRACT  

External Carotid Endarterectomy for Cerebral and Ocular Ischemia
Sekhar et al.
VASC ENDOVASCULAR SURG 1982;16:185-203.
ABSTRACT  

Prevention of Neurologic Complications of Carotid Endarterectomy
Owens and Wilson
Arch Surg 1982;117:551-555.
ABSTRACT  

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

Bilateral Internal Carotid Artery Occlusion: Its Surgical Management
Berguer et al.
Arch Surg 1980;115:840-843.
ABSTRACT  

Ipsilateral Blindness: A Complication of Carotid Endarterectomy
Treiman et al.
Arch Surg 1977;112:928-932.
ABSTRACT  

Subclavian Artery to External Carotid Artery Bypass Graft: Improvement of Cerebral Blood Supply
Berguer and Bauer
Arch Surg 1976;111:893-896.
ABSTRACT