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Simultaneous Bilateral Carotid Endarterectomies
Roy H. Clauss, MD;
Prafull V. Bole, MD;
Mario Paredes, MD;
William Doscher, MD;
Adebayo Adeyemo, MD;
Martin W. Kreminitzer, MD
Arch Surg. 1976;111(11):1304-1306.
Abstract
• Twelve patients with bilateral symptomatic lesions of internal carotid arteries have had bilateral carotid endarterectomy at single operations without complications. These were patients up to age 80 who had prior myocardial infarction, stroke with recovery, and hemispheric and nonhemispheric episodes. Neurologist's clearance and three- or four-vessel intracranial-extracranial angiography preceded all operations, which were performed with the patient under general anesthesia. Stump pressure measurements were the principal guideline of adequacy of collateral flow and predictor of safe outcome.
The safety of this concept of bilateral operations during one anesthesia can eliminate uncertainties of sequence and timing, obviate delay and indecision, and avoid the hazards of a second anesthetic-operative experience.
(Arch Surg 111:1304-1306, 1976)
Author Affiliations
From the Departments of Surgery (Drs Clauss, Bole, Paredes, Doscher, and Adeyemo) and Neurology (Dr Kreminitzer), New York Medical College, Flower and Fifth Ave Hospital and Metropolitan Hospital Center, New York.
Footnotes
Accepted for publication July 9, 1976.
Read before the 24th scientific meeting of the International Cardiovascular Society, Albuquerque, NM, June 19, 1976.
Reprint requests to Department of Surgery, New York Medical College, 1249 Fifth Ave, New York, NY 10029 (Dr Clauss).
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