• Online Features  This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on Web of Science (14)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Richard H. Whitten, MD; William Gee, MD; Harry A. Kaupp, MD; Kenneth M. McDonald, MD

Arch Surg. 1981;116(9):1165-1169.

Abstract

• Angiography documented severe ( 75%, cross-sectional area) bilateral carotid stenotic or occlusive disease in 60 patients. One third of these patients were thought to have transient ischemic symptoms of low-flow rather than embolic etiology. Preangiographic ocular pneumoplethysmography (OPG-Gee) was obtained in all patients. Postoperative OPG studies were obtained in the 39 patients who underwent unilateral carotid surgery. In seven of the 39 patients who were operated on, bilateral procedures were performed; OPG studies were obtained after the second procedure also. Comparison of the preoperative and postoperative OPG studies provided convincing evidence that the establishment of major carotid inflow should be the primary objective in patients with severe bilateral carotid disease, and that distal extracranial-intracranial reconstruction should be reserved for patients failing to respond to augmented inflow because of deficient collateral vessels.

(Arch Surg 1981;116:1165-1169)

Author Affiliations

Footnotes

Reprint requests to Department of Surgery, Allentown and Sacred Heart Hospital Center, Box 689, 1200 S Cedar Crest Blvd, Allentown, PA 18105 (Dr Gee).

CiteULike    Connotea    Delicious    Digg    Facebook    Reddit    Technorati    Twitter     What's this?