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Results in 100 Operations

Jesse E. Thompson, MD; Dale J. Austin, MD; R. Don Patman, MD

AMA Arch Surg. 1967;95(5):791-801.

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

CAROTID endarterectomy continues to play an increasingly important role in the definitive management of patients with cerebrovascular insufficiency syndromes when the obstructing lesions are located in the extracranial vasculature. If the atherosclerotic plaque is only partially occlusive and the distal internal carotid is patent on the arteriogram, restoration of cerebral blood flow by surgical reconstruction is almost uniformly successful. This is not the case, however, if the internal carotid is totally occluded.¹ A considerable difference of opinion exists in the literature regarding the advisability of operation on the totally occluded carotid. Some authors believe that exploration is not worthwhile,^2,3 but others are liberal in exploring both the acutely and chronically occluded internal carotid.⁴ It is the purpose of this paper to record our experiences with the management of totally occluded carotid arteries based on an analysis of clinical results in patients subjected to endarterectomy over a ten-year . . . [Full Text PDF of this Article]

Author Affiliations
Dallas

From the Surgical Service, Balyor University Medical Center, Dallas.

Footnotes
Submitted for publication July 26, 1967.

Read before the 15th Scientific Meeting of the North American Chapter of the International Cardiovascular Society, Atlantic City, NJ, June 16, 1967.

Reprint requests to Suite 400, 3434 Swiss Ave, Dallas 75204 (Dr. Thompson).

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