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

A Complication of Carotid Endarterectomy

Richard L. Treiman, MD; Lee C. Bloemendal, MD; Robert F. Foran, MD; Phillip M. Levin, MD; J. Louis Cohen, MD

Arch Surg. 1977;112(8):928-932.

Abstract
• We report on three patients in whom ipsilateral blindness developed following carotid endarterectomy. Fundoscopic examination of the retina documented ischemia and the visual field defects were permanent. In one patient, the internal carotid artery was patent and thought to be the conduit for embolization to the eye. Two patients had chronic occlusion of the internal carotid artery, and blindness resulted from atheromatous emboli to the eye through the external carotid artery in one and from postoperative thrombosis of the external carotid artery in the other. Our experience calls attention to this infrequently reported complication of carotid endarterectomy and emphasizes the importance of the external carotid artery, especially when the internal carotid artery is occluded.

(Arch Surg 112:928-932, 1977)

Author Affiliations
From the Vascular Surgery Section, Cedars-Sinai Medical Center, Los Angeles.

Footnotes
Accepted for publication Feb 16, 1977.

Read before the annual meeting of the Southern California Chapter of the American College of Surgeons, Palm Springs, Calif, Jan 15, 1977.

Reprint requests to 435 N Bedford Dr, Beverly Hills, CA 90210 (Dr Treiman).

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

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Carotid Reconstruction for Ocular Ischemic Syndrome Can We Predict the Visual Outcome?
Ino-ue et al.
VASC ENDOVASCULAR SURG 1998;32:269-274.
ABSTRACT  

Diffuse Disseminated Atheroembolism: Three Cases With Neuro-ophthalmic Manifestation
Coppeto et al.
Arch Ophthalmol 1984;102:225-228.
ABSTRACT  

Carotid Bruit: A Follow-up Report on Its Significance in Patients Undergoing an Abdominal Aortic Operation
Treiman et al.
Arch Surg 1979;114:1138-1140.
ABSTRACT