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Clinical Evaluation and Surgical Correction

HASSAN NAJAFI, MD; HUSHANG JAVID, MD; WILLIAM S. DYE, MD; JAMES A. HUNTER, MD; ORMAND C. JULIAN, MD

AMA Arch Surg. 1964;89(1):134-143.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Arteriosclerotic occlusive lesions of the brachiocephalic system were well described by Broadbent in 1875² and Penzoldt in 1881.¹³ The significance of these lesions in the production of cerebral insufficiency was later emphasized by Chiari in 1905³ and Hunt in 1914.⁷ The most common pathological process is an occlusive atheromatous plaque at the level of the common carotid bifurcation. The surgical management of this lesion is well established. Endarterectomy has been regarded as the procedure of choice.^1,4,5,9 Obstruction of the extracranial portions of the carotid and vertebral systems can also occur due to external pressure by bony projection or by kinking of the vessels.^10,11,14

The purpose of this presentation is to report our experience with kinked internal carotid artery.

Clinical Material

In a series of 308 patients subjected to carotid surgery, 248 underwent carotid bifurcation endarterectomy and 15 were operated upon for the relief of . . . [Full Text PDF of this Article]

Author Affiliations
CHICAGO

Instructor in Surgery, Research Associate in Surgery (Dr. Najafi); Clinical Associate Professor of Surgery (Dr. Javid and Dr. Dye); Assistant Professor of Surgery (Dr. Hunter); and Professor of Surgery (Dr. Julian), University of Illinois College of Medicine.; From the Department of Surgery, University of Illinois College of Medicine, and the Cardiovascular Surgical Service, Presbyterian-St. Luke's Hospital.

Footnotes
Read before the 21st Annual Meeting of the Central Surgical Association, Rochester, Minn, Feb 27-29, 1964.

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